PN Comprehensive Online Practice 2020 B ALL SOLUTION 100% CORRECT RATED GRADE A+

A nurse is caring for a client who has a prescription for famotidine 160 mg PO every 6 hr. Available is famotidine oral suspenision 40 mg/5 mL. How many mL should the nurse administer per dose? 20 mL A nurse is collecting data from a client who has an iron deficiency anemia. Which of the following findings should the nurse expect? Difficulty concentrating *In clients who have iron deficiency anemia, body cells do not receive the required oxygen because there is less hemoglobin for binding. The nurse should recognize that impaired oxygenation of brain tissue can lead to dizziness and difficulty concentrating. A nurse manager is preparing to complete a performance analysis for a group of assistive personnel (AP). The manager asks a staff nurse for feedback on each AP's abilities. Which of the following actions should the staff nurse take? Discuss how each AP's actions measure against the job description. *To provide objective information, the staff nurse should compare the behavior of each AP to the facility job description. The nurse can provide specific information about how each AP either meets the standard or demonstrates a need for improvement. A nurse is reviewing a client's electronic medical record and kids that an assistive personnel (AP) recorded the client's temperature as 35.5°C (95.5°F) 2 hr earlier. Which of the following actions should the nurse take first? Check the client's temperature *According to the nursing process, the first action the nurse should take is to collect data from the client. Therefore, the nurse should retake the client's temperature. A nurse on an acute care unit is collecting data from a school-age child who has cystic fibrosis (CF). Which of the following findings is the priority for the nurse to report to the provider? Reports lack of appetite *The nurse should identify that the greatest risk to a child who has a decreased appetite is pulmonary infection. Anorexia, along with other manifestations, such as loss of weight and lethargy, are commonly seen in children who have CF which an infection exacerbation. Typical manifestations of pulmonary infection, such as fever and tachypnea, might now be seen in a child who has CF. Additionally, a child who is anorexic is at increased risk for diminished lung function. A nurse in a long-term care facility is observing a newly licensed nurse who is providing tracheostomy care for a client. The nurse identifies proper performance of the procedure when the newly licensed nurse selects which of the following solutions to clean the inner cannula? Hydrogen peroxide *The nurse should identify that sterile hydrogen peroxide solution is used to loosen secretions from the inner cannula during cleaning. If the client skin becomes irritated, the nurse should choose 9% sodium chloride solution. A nurse is reinforcing discharge teaching with a client who is postoperative following an open radical prostatectomy. Which of the following instruction should the nurse include in the teaching? "Perform Kegel exercises daily." *The nurse should instruct the client to perform Keagle exercises to promote the control of urine flow and reduce incontinence. A nurse is reinforcing teaching with a group of clients about the Heimlich maneuver during a first aid class. The nurse should include the teaching that which of the following manifestations indicates the need for the Heimlich maneuver to be performed? Difficulty breathing Coughing Presence of stridor *The Heimlich maneuver is performed when the airway is obstructed by foreign body. A client who has an obstructed airway may exhibit manifestation such as coughing, choking, gagging, difficulty breathing, cyanosis, and stridor. A nurse is reinforcing discharge teaching with a client who has undergone been litigation and stripping to treat varicose veins. Which of the following instruction should the nurse include in the teaching? Walk for 1 to 2 hr each day. * the nurse should instruct the client to walk at least 1 to 2 hours per day after surgery to promote venous return. A nurse is caring for a client following a bronchoscopy. Which of the following action should the nurse take first? Check for a gag reflex *The greatest race to this client is injury from aspiration. Therefore, the first action the nurse should take is to check for a gag reflex. A nurse is assisting with the admission of a client who has major depressive disorder. Which of the following communication technique shut the nurse used to establish a trusting relationship with the client? Offering general leads *Offering general leads is therapeutic and will enhance positive interaction with the client because it demonstrates to the client that the nurse is listening and is interested in what the client is sharing. A nurse is reinforcing discharge teaching with a client who has dependent personality disorder. Which of the following instruction should the nurse include in the discharge teaching? Demonstrate assertiveness *Clients who have dependent personality disorder demonstrate fear of separation and abandonment. Therefore, reinforcing a certain behaviors will allow the client to become more independent. A nurse is positioning a client who is scheduled for a lumbar puncture. The nurse should assess the client into which of the following positions? Lateral recumbent *The nurse should assess the client into the lateral recumbent position for a lumbar puncture to ensure the proper placement of the needle. A nurse is collecting data from a client who has myasthenia gravis (MG). Which of the following images should the nurse identify as an indication that the client is experiencing ptosis? The one with a drooping eyelid. * this is an example of ptosis is, in which there is abnormal drooping of the upper eyelid. Ptosis so long with diplopia, or early manifestations of myasthenia gravis. A nurse is observing an assistive personnel caring for a client. For which of the following actions by the assistive personnel should the nurse intervene? The AP reports client information to the oncoming AP in the hallway. *The nurse should intervene when observing the assistive personnel report and client information in the hallway because it is a breach of client confidentiality. A nurse is reinforcing teaching with a client regarding prescribed asthma medications. The nurse should instruct the client to use which of the following medications for treatment of an acute asthma attack? Albuterol *The nurse should instruct the client to use albuterol, a bronchodilator, to relieve the bronchospasms of an acute asthma attack. The nurse is reinforcing teaching with a client who has dumping syndrome about measures to reduce manifestations. Which of the following instructions should the nurse include in the teaching? Avoid foods with high sugar content. *The nurse should instruct the client to avoid sweet foods, which often increase the manifestations of dumping syndrome. These manifestations include nausea, sweating abdominal pain, diarrhea, and weakness. A charge nurse on a long-term care unit is preparing to delegate tasks to a licensed practical nurse (LPN) and an assistive personnel (AP). Which of the following tasks should the charge nurse delegate to the LPN? Administering an initial NG tube feeding to a client who had a stroke. *It is within the LPN's scope of practice to administer an initial NG tube feeding to a client who had a stroke. Because this task requires use of the nursing process, it is outside the range of function for an All Therefore, the LPN should expect to be assigned this task. A nurse is reinforcing teaching with a client who is scheduled for a barium enema. Which of the following statement should the nurse make "This procedure uses diagnostic imaging to locate an obstruction." *The nurse should reinforce with the client that a barium enema uses fluoroscopy, which is a type of diagnostic imaging to locate and identify tumors or other causes of a bowel obstruction. A nurse notices an assistive personnel (AP) taking a nap in the break room during meal time. The nurse also notes that the AP is drowsy while performing routine tasks. Which of the following actions should the nurse take? Report the observations about the AP to the unit's nurse manager. *The nurse should report their observations to the unit's nurse manager because they have a duty to report any behavior that poses a risk to the client safety. A nurse is assisting with a presentation at a community center about personal disaster preparedness. Which of the following strategies should the nurse recommend for preparing a home disaster supply kit? Have a supply of prescribed medications. *In a disaster situation, it could be difficult to obtain addition prescribed mediation. Therefore, the nurse should recommend clients have a backup supply of prescribed medication to prevent a potentially harmful interruption in dosing. A nurse is collecting data from a client who has bipolar disorder and is experiencing acute mania. Which of the following findings is the nurse's priority? Lack of sleep *The greatest risk for this client is exhaustion or death from lack of sleep. Therefore, this is the priority finding. The nurse should encourage frequent periods of rest for the client throughout the day. A charge nurse in a long-term care facility notices an assistive personnel's (AP) repeated failure to provide oral care for clients. Which of the following actions should the charge nurse take? Discuss this behavior with the AP while reinforcing expectations. *The charge nurse should discuss this behavior with the AP and reinforce expectations moving forward. Evaluation of the AP's performance is a part of the nurse's delegation process. Teaching and counseling the AP about behaviors and expectations is an important component of leadership. A nurse in a long-term care facility is contributing to the plan of care for a client who has a new ostomy. Which of the following interventions should the nurse include? Change the appliance two times each week *The nurse should change the appliance two times each week to maintain an effective seal around the stoma. The nurse should remove the appliance carefully and cleanse the client's stoma. A nurse is collecting data from a client who has hypokalemia. Which of the following findings should the nurse expect? Muscle weakness *The nurse should expect a client who has hypokalemia to have bilateral muscle weakness. Other manifestations of hypokalemia include hyporeflexia, muscle stiffness, cramping, and paralysis. A nurse is contributing to the plan of care for an older adult client who has difficulty sleeping. Which of the following interventions should the nurse include? Establish a regular exercise routine 2 hr or more before bedtime. *The nurse should include in the plan to engage the client in moderate exercise activities during the day but at least 2 hr prior to bedtime to help promote a deep, restful sleep. A nurse is discussing alopecia with a client who is scheduled to begin chemotherapy. Which of the flooring statements should the nurse make? "Your oncologist might prescribe a cold cap to wear during treatment to reduce hair loss." *The nurse should inform the client that cold caps cause vasoconstriction, which can help decrease hair loss by reducing the ability fo the chemotherapy medication to teach the hair follicles. A nurse is preparing to administer purified protein derivative (PPD) to a client who has suspected tuberculosis. Which of the following actions should the nurse plan to take? Ensure the injection produces a wheal on the skin. *The nurse should ensure that the injection of the PPD produces a wheal, or bleb, on the skin. This indicates the medication has been injected into the dermis of the skin. A nurse is collecting data from a client who has multiple sclerosis. Which of the following findings should the nurse expect? Ataxia CONTINUED...