HESI PN COMPREHENSIVE EXAM 3- CORRECT AND VERIFIED FLASHCARDS.
What intervention should the practical nurse (PN) implement to meet the
... [Show More] physiologic
integrity of a client during a manic episode of bipolar disorder?
A. Provide the client with finger foods.
B. Restrict the client's oral fluid intake.
C. Give the client low-protein, low-calorie snacks.
D. Interrupt the client's performance of rituals.
A. Provide the client with finger foods.
During the manic phase of bipolar disorder, a client is often unable to sit still long enough to eat, so the client should be provided finger foods that can be eaten while hyperactive.
A client with bipolar disorder is being treated with cognitive therapy. Which actions should the practical nurse (PN)
implement to reenforce this treatment strategy? Select all that apply.
A. Recommend daily physical activity.
B. Use affirmations and limit setting.
C. Allow the client to talk continuously.
D. Report client's suicidal expressions to the therapist.
E. Encourage substituting
positive thoughts for negative thoughts.
F. Reenforce relaxation techniques when experiencing negative thoughts.
B. Use affirmations and limit setting.
D. Report client's suicidal expressions to the therapist.
E. Encourage substituting positive thoughts for negative thoughts.
Clients diagnosed with bipolar disorder may
experience depressive thoughts and/or attempt suicide. Cognitive therapy sometimes produces relief from troubling symptoms experienced by clients with bipolar disorder. Cognitive therapy allows clients to handle "thought errors" and behaviors to stop negative thoughts.
Which action should the
D. Percuss the chest wall in a rhythmic fashion.
practical nurse (PN) implement
for a young girl with pulmonary Thick secretions that are difficult to cough up can
infection who is receiving chest be loosened by tapping, or percussing, and
physiotherapy? vibrating the chest. Percussion is carried out by
cupping the hands and lightly striking the chest wall
A. Encourage to hold her in a rhythmic fashion over the lung segment to be
breath and then cough. drained
B. Administer bronchodilators
after the procedure.
C. Allow the child to sit in a
position of choice.
D. Percuss the chest wall in a
rhythmic fashion.
The practical nurse (PN) is
C. To prevent infection in the baby's eyes.
preparing to administer
erythromycin (Ilotycin) 0.5% Erythromycin is prescribed in the prophylaxis of
ophthalmic ointment to a ophthalmia neonatorum caused by Neisseria
newborn. The father asks the gonorrhea and Chlamydia trachomatis. The PN
PN the purpose of this should explain the ointment is a prophylactic
medication. What rationale treatment to prevent infection in the baby's eyes.
should the PN provide?
A. To allow the baby's eyes to
focus.
B. To lubricate the baby's eyes.
C. To prevent infection in the
baby's eyes.
D. Refer the father to the
pediatrician.
A client's cardiac telemetry reveals sinus bradycardia at 40 beats/minute. An IV dose of atropine is given per protocol. Which finding should the practical nurse (PN) identify as a therapeutic response?
A. A decrease in blood pressure.
B. A decrease in premature contractions.
C. An increase in heart rate.
D. An increase in sensorium.
C. An increase in heart rate.
Atropine increases heart rate (C) by its
anticholinergic effects on the sinoatrial (SA) node.
A client is admitted with a
C. An oral temperature of 101.8° F.
tumor of the hypothalamus.
Which finding should the The hypothalamus controls body temperature, so
practical nurse (PN) report to variation in the temperature should be reported to
the charge nurse? determine if the elevation is related to infection or
cerebral pathology.
A. A pulse rate of 98 beats/min.
B. Respirations of 20
breaths/min.
C. An oral temperature of 101.8°
F.
D. A blood pressure of 130/80
mm Hg.
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