PN End of Life HESI Case Study (Completely solved)

The client asks the practical nurse (PN) why his medication was changed. What is the most likely reason for this change? correct answers B. Dry cough is a common side effect of an ACE inhibitor. The HCP ordered 80 mg of Valsartan (Diovan) to be administered twice daily. The available dose is Valsartan (Diovan) 40 mg tablets. How many tablets will the PN administer to Mr. Pinner with each dose? correct answers 2 Which medication or combination of medications that Mr. Pinner listed as his home medications, may contribute to his upset stomach? correct answers A. Hydrocodone and Acetaminophen (Norco) When reinforcing the teaching to a client about the use of nitroglycerin, which of the following points should the PN include? (Select all that apply.) correct answers A. Nitroglycerin should be kept in a tightly closed container. D. Nitroglycerin should be dissolved under the tongue, not chewed or swallowed. Which of the following ECG findings indicate that Mr. Pinner may be having another MI? correct answers C. ST segment elevation How much oxygen should Mr. Pinner receive at this time? correct answers B. Give oxygen at 2 L per minute by nasal cannula titrated for saturation greater than 94%. What action should the PN take first? correct answers A. Stop the HCP and remind the HCP of client confidentiality. What is the best response by the PN? correct answers A. "Mr. Pinner, you may be correct. We do not know for certain if you have cancer and the HCP said further testing will be obtained." Mr. Pinner complains of pain to the PN. What is the best method for measuring his pain? correct answers C. Ask the client to rate his pain on a scale of 0 to 10. What action(s) should the PN implement? correct answers A. Explain to Mr. Pinner that he will not become addicted to morphine with one dose. C. Evaluate Mr. Pinner for allergies. While evaluating Mr. Pinner at the beginning of the shift, the PN notes that Mr. Pinner has a saline lock in place that will be used for tests with contrast media administration. What is the best location for Mr. Pinner's saline lock placement? correct answers D. His left antecubital (AC). What documentation is needed before a thoracentesis is performed? correct answers B. An informed consent.