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pnr206 med surg hesi exam
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Page 1 of 11pnr206 med surg hesi exam
a client with cholelithiasis is admitted with jaundice due to obstruction of the common bile duct. which
finding is most important for the practical nurse to report to the healthcare provider?
hard, rigid abdomen.
which actions should the practical nurse implement for a client whose fractured tibia is causing swelling
of the lower leg?
ice application and elevation.
a male client with increased intracranial pressure (icp) due to a skull fracture is in the supine position
with his legs elevated. what should the practical nurse (pn) do first?
raise the head 30 degrees and lower the feet.
a client's results for this morning's platelet count is 30,000/mm 3 . what action should the practical
nurse (pn) implement first?
institute bleeding precautions.
a client is admitted with a c4 spinal cord injury (sci) after falling from a roof at a construction site. after
returning to the unit for a ct scan to confirm the vertebral fracture, which assessment by the practical
nurse has the highest priority?
check the respiratory effort and pulse oximeter reading.
a client with parkinson's disease asks the practical nurse (pn) to explain how this disease causes his
muscles to malfunction. which underlying pathophysiology should the pn use as a basis for the
explanation?
degeneration of the basal ganglia leads to a decrease in dopamine levels.
a client with newly diagnosed essential hypertension is learning to cope with stressful situations in his
life. which activity should the practical nurse (pn) implement to help the client learn constructive
coping?
role play a situation the client identifies as stressful.
which finding should the practical nurse (pn) identify as typical for a client who is hypoxic?
hemoglobin of 10 grams/dl
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which finding for a client with heart failure (hf) should the practical nurse (pn) report to the charge
nurse?
distended neck veins while upright.
the practical nurse (pn) is caring for a client with chronic obstructive pulmonary disease (copd). to
reduce carbon dioxide ( co 2 ) retention in the lungs, which information should the pn reinforce?
use pursed-lip and abdominal breathing.
a male client who has been taking a four-drug regimen for tuberculosis (tb) tells the practical nurse (pn)
that he has finished the first drug, isoniazid, and will start taking rifampin next. how should the pn
respond?
the four-drug protocol should be taken concurrently.
the practical nurse (pn) is reviewing the health history of a client with coronary artery disease (cad).
which finding should the pn identify that places the client at risk for stroke?
atrial fibrillation.
after receiving report, the practical nurse (pn) begins assessment for a client with chronic obstructive
pulmonary disease (copd) who has just completed a respiratory treatment. the pn finds the client sitting
upright in bed with oxygen at 6 liters/minute per nasal cannula. which intervention is most important
for the pn to implement?
decrease oxygen flow rate to 2 liter/minute and attach pulse oximeter.
a male client is having an intraocular pressure (iop) measurement using a tonometer for the first time.
the client is fearful that the test hurts and may damage his vision. which explanation should the practical
nurse provide?
a topical anesthetic will be used on the eye surface.
a client with major burns is receiving cimetidine (tagamet). which finding should the practical nurse (pn)
obtain to best evaluate the effectiveness of the medication?
absense of blood in the stool.
a male client with metastatic gastric cancer is being discharged home, but the client and family
members are fearful of managing the client's symptoms at home. what action should the practical nurse
provide?
suggest a referral for the client to have hospice care provided in their home.
a male client receives the negative results for his recent fecal occult blood test and calls the clinic to
cancel his colonoscopy scheduled for the next day. which information should the practical nurse
provide?
a negative result for occult blood does not rule out lesions in the colon.
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