Remediation packages, NSG 261 Final HESI, Health
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What strategies should the practical nurse (PN) implement when assisting an
older client with self-care deficits?
ANSWERS:
-Give the client adequate time for completion of activities.
-Instruct in the use of assistive devices such as a button hook and sock assist.
-Modify activities of daily living to client's abilities such as sitting to brush teeth.
-Plan time schedule, daily activities, and staffing according to the client's
functional ability.
The practical nurse (PN) is teaching a pre-op client in preparation for care
following surgery. Which methods should the PN teach about pulmonary
toileting?
ANSWERS:
-To use an incentive spirometer at least four times an hour.
-To breathe deeply through the nose and exhale through the mouth.
, he practical nurse (PN) is auscultating the lung fields of a client who has been
diagnosed with emphysema. The PN notes high-pitched, whistling sounds
throughout all lobes of the lung. Which term best describes this lung sound?
ANSWERS: Wheezing.
A client's pulse oximeter is alarming and displaying 80% O2 saturation. The client
is lying in bed with O2 running at 2 liters/min via nasal cannula. The client's
respiratory rate is 16 breaths per minute, mucous membranes are pink,and
breathing is not labored. What should the practical nurse (PN) do next?
ANSWERS:
Check that the placement of the pulse oximeter is correct.
The practical nurse (PN) has been transferred to a new nursing unit and wishes to
begin building collaborative, interdisciplinary relationships. Which characteristics
would contribute to effective teamwork?
ANSWERS:
-Effective and consistent communication.
-Trust and mutual respect.
-Recognition and valuation.
The unlicensed assistive personnel (UAP) is assisting a client getting into the
shower. The charge nurse answers a call from the fracture clinic to immediately
send the UAP's other assigned client to the clinic. Which action should the
practical nurse (PN) take?
ANSWERS:
Notify the delegating nurse of the current request from the fracture clinic
, Which information should the practical nurse (PN) include in a report of a client
being admitted to the nursing unit from the emergency department (ED)?
ANSWERS:
-Admitting diagnosis.
-Current code status.
-Treatment done in ED.
A client is experiencing cancer-related fatigue. What should the practical nurse
(PN) advise to help alleviate the symptoms?
ANSWERS:
-Try to eat a well-balanced diet.
-Participate in routine physical exercise.
-Develop routine sleeping habits.
A mother asks for advice on how to talk to her children about death and dying
after she learned that her husband has approximately six months to live. How
should the practical nurse respond to the mother?
ANSWERS:
-Ask the mother about her beliefs about death and dying.
-Assess how the mother feels about the situation.
-Inquire about her children's previous experiences with death and dying.
A survivor of a horrific motor vehicle accident whose loved one was killed has
not been able to go back to work and spends most of the day drinking alcohol
and watching television for the past ten months. Which type of complicated
grieving is being exhibited?
ANSWERS:
Exaggerated grief.
, The practical nurse (PN) is preparing to conduct a general mobility assessment
with a client. When should the nurse begin the mobility assessment?
ANSWERS:
While the client is lying in bed.
Which questions are best for the practical nurse (PN) to ask to assess for "disuse
syndrome" in clients diagnosed with neuromuscular diseases such as muscular
dystrophy or multiple sclerosis?
ANSWERS:
-What is included in a typical day for you?
-How much assistance do you need to move around?
-On a scale 1-10, how would you rate overall pain level?
Which dosing routes are acceptable for the practical nurse (PN) to administer
fentanyl to a client diagnosed with cancer who is suffering with chronic pain?
ANSWERS:
-PCA pump.
-Transdermal patch.
-Transmucosal swab.
-Slow intravenous push.
The practical nurse (PN) is assessing the femoral insertion site of a client who
recently had a cardiac catheterization. The client reports discomfort at the site.
According to the standing orders, which action should the PN implement?
ANSWERS:
Administer acetaminophen/ codeine phosphate.