PN HESI EXIT PREP Exam (Questions And Answers Verified Rated A+ 2023
PN HESI EXIT PREP Exam (Questions And Answers Verified Rated A+ 2023. The practical nurse (PN) is observing a client self-administering a dose if subcutaneous insulin. What step of the injection technique should the practical nurse (PN) reteach? a. Injects air into the insulin vial to displace the dose b. Selects the same site that was used for the previous injection c. Inserts the needle at a 90-degree angle to the skin surface d. Uses a circular motion when applying an alcohol pad to the site Rationale: The PN should reteach the client to rotate the NOON site to a site other than the same one used for the AM dose. Different sites used throughout the day may provide a varying rate of absorption related to activity. Intra-site rotation is recommended for the dose used during one specific time of the day. The other choices are acceptable techniques for subcutaneous injection of insulin. The practical nurse (PN) observes a newly hired unlicensed assistive personnel (UAP) who is counting a client’s radial pulse as seen in the picture. Which action should the PN take? a. Confirm accuracy of the pulse rate obtained by the UAP b. Instruct the UAP to report any abnormal findings c. Remind the UAP to check the clients pulse volume d. Demonstrate the correct pulse site to the UAP (follow the thumb for the radial pulse, follow the pinky for the brachial) Rationale: When checking the radial pulse, the index and middle finger should be aligned with the thumb, for brachial pulse assessment should be aligned with the pinky finger. The birth weight of an infant delivered by a woman with gestational diabetes is 10.1 pounds (4,581 grams). The infant is jittery and has a heel stick glucose level of 40 mg/dL (2.2 mmol/L or SI units) 30 minutes after birth. Based on this information, which intervention should the practical nurse (PN) implement first? a. Repeat the heel stick for glucose in one hour b. Offer nipple feedings of 10% dextrose c. Begin frequent feedings of breast milk or formula
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