HESI A2 - LATEST FUNDAMENTAL PN HESI SPECIALTY V2 WITH CORRECT ANSWERS RATED A+ 2024 NEW UPDATE During the initial physical assessment of a newly admitted client with a pressure ulcer, a LPN observes that the client's skin is dry and scaly. The nurse applies emollients and reinforces the dressing on the pressure ulcer. Legally, were the nurse's actions adequate? - answersThe nurse provided supportive nursing care for the well -being of the client. A visitor comes to the nursing station and tells the nurse that a client and his relative had a fight and that the client is now lying unconscious on the floor. What is the most important action the LPN/LVN needs to take? A Ask the client if he is okay. - answersAsk security to make sure the room is safe To ensure the safety of a client who is receiving a continuous intravenous normal saline infusion, the LPN should change the administration set every - answers72 to 96 hours A LPN/LVN is taking care of a client who has severe back pain as a result of a work injury. What nursing considerations should be made when determining the client's plan of care? Select all that apply. - answersAsk the client what is the client's acceptable level of pain. Administer the pain medications regularly around the clock The LPN/LVN is preparing to administer eardrops to a client that has impacted cerumen. Before administering the drops, the nurse will assess the client for which contraindications? Select all that apply - answersAllergy to the medication Drainage from the ear canal Tympanic membrane rupture What clinical indicators should the LPN/LVN expect a client with hyperkalemia to exhibit? Select all that apply - answersDiarrhea Weakness Dysrhythmias A health care provider has prescribed isoniazid (Laniazid) for a client. Which instruction should the LPN give the client about this medication? - answersDrinking alcohol daily can cause drug -induced hepatitis To minimize the side effects of the vincristine (Oncovin) that a client is receiving, what does the LPN/LVN expect the dietary plan to include? - answersHigh in fluids A postoperative client says to the nurse, "My neighbor, I mean the person in the next room, sings all night and keeps me awake." The neighboring client has dementia and is awaiting transfer to a nursing
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