PNR206 Med Surg Hesi
Study online at https://quizlet.com/_8hdfvw
A client's results for this morning's
platelet count is 30,000/mm 3 . What
Institute bleeding precautions.
action should the practical nurse (PN)
implement first?
A client is admitted with a C4 spinal cord
injury (SCI) after falling from a roof at a
construction site. After returning to the Check the respiratory effort and pulse
unit for a CT scan to confirm the verte- oximeter reading.
bral fracture, which assessment by the
practical nurse has the highest priority?
A client with cholelithiasis is admitted
with jaundice due to obstruction of the
common bile duct. Which finding is most Hard, rigid abdomen.
important for the practical nurse to report
to the healthcare provider?
Which actions should the practical nurse
implement for a client whose fractured Ice application and elevation.
tibia is causing swelling of the lower leg?
A male client with increased intracranial
pressure (ICP) due to a skull fracture is
Raise the head 30 degrees and lower the
in the supine position with his legs elevat-
feet.
ed. What should the practical nurse (PN)
do first?
A client with Parkinson's disease asks
the practical nurse (PN) to explain how
this disease causes his muscles to mal- Degeneration of the basal ganglia leads
function. Which underlying pathophysiol- to a decrease in dopamine levels.
ogy should the PN use as a basis for the
explanation?
A client with newly diagnosed essential
hypertension is learning to cope with
stressful situations in his life. Which activ- Role play a situation the client identifies
ity should the practical nurse (PN) imple- as stressful.
ment to help the client learn constructive
coping?
, PNR206 Med Surg Hesi
Study online at https://quizlet.com/_8hdfvw
Which finding should the practical nurse
(PN) identify as typical for a client who is Hemoglobin of 10 grams/dl
hypoxic?
Which finding for a client with heart fail-
ure (HF) should the practical nurse (PN) Distended neck veins while upright.
report to the charge nurse?
The practical nurse (PN) is caring for a
client with chronic obstructive pulmonary
disease (COPD). To reduce carbon diox- Use pursed-lip and abdominal breathing.
ide ( CO 2 ) retention in the lungs, which
information should the PN reinforce?
A male client who has been taking a
four-drug regimen for tuberculosis (TB)
tells the practical nurse (PN) that he has The four-drug protocol should be taken
finished the first drug, isoniazid, and will concurrently.
start taking rifampin next. How should
the PN respond?
The practical nurse (PN) is reviewing
the health history of a client with coro-
nary artery disease (CAD). Which finding Atrial fibrillation.
should the PN identify that places the
client at risk for stroke?
After receiving report, the practical nurse
(PN) begins assessment for a client with
chronic obstructive pulmonary disease
(COPD) who has just completed a respi-
Decrease oxygen flow rate to 2
ratory treatment. The PN finds the client
liter/minute and attach pulse oximeter.
sitting upright in bed with oxygen at 6
liters/minute per nasal cannula. Which
intervention is most important for the PN
to implement?
A male client is having an intraocular
pressure (IOP) measurement using a
tonometer for the first time. The client is A topical anesthetic will be used on the
fearful that the test hurts and may dam- eye surface.
age his vision. Which explanation should
the practical nurse provide?
Study online at https://quizlet.com/_8hdfvw
A client's results for this morning's
platelet count is 30,000/mm 3 . What
Institute bleeding precautions.
action should the practical nurse (PN)
implement first?
A client is admitted with a C4 spinal cord
injury (SCI) after falling from a roof at a
construction site. After returning to the Check the respiratory effort and pulse
unit for a CT scan to confirm the verte- oximeter reading.
bral fracture, which assessment by the
practical nurse has the highest priority?
A client with cholelithiasis is admitted
with jaundice due to obstruction of the
common bile duct. Which finding is most Hard, rigid abdomen.
important for the practical nurse to report
to the healthcare provider?
Which actions should the practical nurse
implement for a client whose fractured Ice application and elevation.
tibia is causing swelling of the lower leg?
A male client with increased intracranial
pressure (ICP) due to a skull fracture is
Raise the head 30 degrees and lower the
in the supine position with his legs elevat-
feet.
ed. What should the practical nurse (PN)
do first?
A client with Parkinson's disease asks
the practical nurse (PN) to explain how
this disease causes his muscles to mal- Degeneration of the basal ganglia leads
function. Which underlying pathophysiol- to a decrease in dopamine levels.
ogy should the PN use as a basis for the
explanation?
A client with newly diagnosed essential
hypertension is learning to cope with
stressful situations in his life. Which activ- Role play a situation the client identifies
ity should the practical nurse (PN) imple- as stressful.
ment to help the client learn constructive
coping?
, PNR206 Med Surg Hesi
Study online at https://quizlet.com/_8hdfvw
Which finding should the practical nurse
(PN) identify as typical for a client who is Hemoglobin of 10 grams/dl
hypoxic?
Which finding for a client with heart fail-
ure (HF) should the practical nurse (PN) Distended neck veins while upright.
report to the charge nurse?
The practical nurse (PN) is caring for a
client with chronic obstructive pulmonary
disease (COPD). To reduce carbon diox- Use pursed-lip and abdominal breathing.
ide ( CO 2 ) retention in the lungs, which
information should the PN reinforce?
A male client who has been taking a
four-drug regimen for tuberculosis (TB)
tells the practical nurse (PN) that he has The four-drug protocol should be taken
finished the first drug, isoniazid, and will concurrently.
start taking rifampin next. How should
the PN respond?
The practical nurse (PN) is reviewing
the health history of a client with coro-
nary artery disease (CAD). Which finding Atrial fibrillation.
should the PN identify that places the
client at risk for stroke?
After receiving report, the practical nurse
(PN) begins assessment for a client with
chronic obstructive pulmonary disease
(COPD) who has just completed a respi-
Decrease oxygen flow rate to 2
ratory treatment. The PN finds the client
liter/minute and attach pulse oximeter.
sitting upright in bed with oxygen at 6
liters/minute per nasal cannula. Which
intervention is most important for the PN
to implement?
A male client is having an intraocular
pressure (IOP) measurement using a
tonometer for the first time. The client is A topical anesthetic will be used on the
fearful that the test hurts and may dam- eye surface.
age his vision. Which explanation should
the practical nurse provide?
