A female Native American client who is receiving chemotherapy places a
native artifact...the health care provider removes the medicine wheel and
tells the client "this type. Hospital" what intervention should the PN
implement - ANS ✓Act as the clients advocate when discussing the issue with
the HCP
A client on bed rest refuses to wear the prescribed pneumatic compression
device after surgery, what action should the PN implement in response to
the clients refusal - ANS ✓emphasize the importance of active foot flexion
A client recovering from a stroke is learning how to use a cane. How should
it be placed - ANS ✓on the stronger side of the body
A client with small bowel obstruction is experiencing frequent vomiting
which instructions are most important for the PN to provide to the UAP
who is completing morning care for this client - ANS ✓measure all emeisies
accurately
on admission to the medical unit a client who is homeless and has a history
of HIV with persistent cough? - ANS ✓erythema and indurations of 5mm at site
When preparing to administer medications to an older resident the PN
notices that several medications that were supposed to be administered
during the previous shift have not been entered as given In the computer.
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, HESI
What action should the PN take - ANS ✓contact the medication nurse to clarify
the findings
the PN is implementing the plan of care for a client who admits
having...indicates the highest risk for the client acting on these suicidal
thoughts - ANS ✓Begins to show signs of improvement
The PN observes that a male clients urinary catheter drainage tubing
is...the attached to the bed frame. What action should the PN implement? -
ANS ✓observe the appearance of the urine in the drainage tubing
A clients chief complaint is being able to swallow only small bites of solid
food...PN should assess for what additional information? - ANS ✓History of
alcohol and tobacco use
when the PN plans daily care for a group pf clients, which client should the
PN see first due to the risk of complication?` - ANS ✓An older client with a
stroke who is febrile and confused
When entering the room of an older female resident of a long term care
facility, the PN finds one of the male residents in bed with her. What action
should the PN take - ANS ✓Close the door and report the finding to the charge
nurse
Prior to giving digoxin, the PN assesses that a 2-month old infants heart
rate is 120 beats/min. Based on this finding what action should the PN take
- ANS ✓give the medication and document the heart rate
-place 4x4 gauze sponges on the pressure ulcer and pour warmed water on
the dressed site - ANS ✓
A client reports feeling numbness and tingling in extremities. What action
should the PN implement - ANS ✓review the clients serum electrolyte levels
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