A male client admitted the morning of his scheduled
surgery tells the pn that he drank water last night. What
intervention will the pn implement
... [Show More] first? Determine the
amount of water and exact time it was taken
A client receives ondansetron prior to chemotherapy
treatment.how should the pn evaluate this medication?
Monitor the client for nausea or
Vomiting following the treatment
The pn is caring for an older adult client who is
confused and spends...factor contributes to an
increased risk for impaired skin integrity for this client?
Has increasing episodes of urinary incontinence
The pn determines that a client with
cirrhosis is experiencing peripheral take?
Protect the clients feet from injury
A client is admitted to the postoperative surgical unit
after a left lobectomy with two chest tubes observes the
water-sealed chambers, set and
Prescribed suction of 20cm water what action should the pn
implement?
Maintain system integrity and to promote lung reexpansion
Photo of chest and locating apical hr just below the left nipple
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At the end of a 12-hour shift the pn observes the
urine in a clients drainage..what action should the
pn take next? Note the most recent white blood
count
Thirty minutes after receiving iv morphine, a
postoperative male client continue to rate his pain
what action should the pn implement first?
Implement complementary pain relief methods
A male client has been diagnosed with schizophrenia is
withdrawn, isolates himself in with one or two word
responses. The morning the pn observes
That he which intervention is most important for the pn to
implement?
Measure appropriate vital signs
The pn is assisting a female client to obtain a
voided specimen for uri meatus. Which
intervention is performed next? Initiate the urine
Stream?
An 8-year old is placed in 90-90 traction for a
fractured femur that resulted from further action by
the pn?weights are touching the foot of the bed
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The pn is reviewing diet instructions with a female
client who has hyper she has increased her intakes of
protein and calories. What action
Should the pn take? Encourage the client to
continue the dietary changes she has made
The pn reviews the procedure for measuring fluid intake and
output
...glomerulonephritis and is preparing for
discharge from the hospital. What... -why the fluid
measurements need to be recoded
14.-which food types are included when
measuring fluid take 15.-what container to
use for the most accurate measurement
16. .request return visit for examination after her period when
hormones
Are lowest
17.a mother brings her 5-year old child to the clinic for school
physical
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Examinations. Which assessment... Pn that
intergenerational violence may be occurring in the
home? -the 6-year old son hits his younger sister
during the interview
18.-the 10-year old daughter has circular burns on
her trunk and legs 19.-the 3-year old has multiple
bruises on the chest and both legs
20.a client has a prescription to discontinue intravenous
therapy when the liter that is infusing at 150 ml per hour
is...1200 the pn notes that there are 750 ml of solution
remaining.at what time should the nurse expect to
Discontinue the intravenous therapy? 1700
21.the pn is caring for a client who had a total
laryngectomy, left radical neck dissection... Client is
receiving nasogastric tube feedings via an internal
pump. Today the rate of the feeding was
increased...ml/hr. What parameter should the pn use to
evaluate the clients tolerate to the rate of the feeding?
Gastric residual volumes
22.a new mother is breastfeeding her newborn for the
first time after delivery and complains of nipple
pain...based on the client complaint, what action should
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the pn take? Ensure that all the areolar tissue of the
nipple is in
The infants mouth.
23. Which site should the pn use when administering
an injection of rho (d) immune negative postpartum
client? Deltoid
24. Before inserting medication into a clients vagina,
what instructions should the pn... Urinate until bladder
is empty
25. An 18-year old female client with pelvic
inflammatory disease (pid0 asks the pn..which
information is best for the pn to provide? A history of
untreated gonnorhea can lead to pid
26.a new mother is bottle feeding instead of
breastfeeding her newborn, the pn...most effectively
deal with breast engorgement and discomfort? Wear
A supportive bra at all times
27.a young adult male tells the pn he has declared to
change his hours at work so that he can...his community.
Which stage of maslow's development is this young adult
attempting to achieve? Self-actualiztion [Show Less]