PN Comprehensive Online Practice 2023 A
Study online at https://quizlet.com/_fkrgbb
1. A nurse is assisting in the care of a client Select the 6 actions the nurse
who is 1 hr postpartum. should take.
Exhibit 1
Nurses' Notes Weigh the perineal pads.
1200: Insert an indwelling urinary
Large amount of lochia rubra noted on catheter.
perineal pad. Fundus boggy at two fin- Administer methylergonovine.
gerbreadths above the umbilicus.Oxy- Provide emotional support.
tocin 20 units being administered via Administer oxygen at 12 L/min
continuous IV infusion via nonrebreather face mask.
1215: Firmly massage the uterine fun-
Large amount of lochia rubra with sever- dus.
al large clots noted. Client reports feeling
anxious. Skin cool and clammy. Provider
notified. When taking action for the
Exhibit 2 client, the nurse should firm-
Vital Signs ly massage the uterine fundus,
1200: administer methylergonovine,
Temperature 37.5° C (99.5° F)Heart rate weigh the perineal pads, pro-
92/minRespiratory vide emotional support, insert
an indwelling urinary catheter,
and administer oxygen at 12
L/min via nonrebreather face
mask. The nurse should identify
that the client is experiencing a
postpartum hemorrhage, which
requires immediate intervention
to prevent hemorrhagic shock.
2. A nurse is collecting data from a client Click to highlight the data col-
who is scheduled for surgery. lection findings that the nurse
Exhibit 1 should report to the provider pri-
Vital Signs or to the procedure. To deselect
0630: a finding, click on the finding
Temperature 36.9° C (98.5° F)Heart again.
rate 74/minRespiratory rate 20/minBlood Hemoglobin level
pressure 122/76 mmHgOxygen satura- Allergy
tion 96% on room air Family history
0730:
, PN Comprehensive Online Practice 2023 A
Study online at https://quizlet.com/_fkrgbb
Temperature 36.9° C (98.5° F)Heart
rate 76/minRespiratory rate 20/minBlood
pressure 128/78 mmHgOxygen satura- When collecting data from the
tion 95% on room air client and analyzing cues, the
Exhibit 2 nurse should determine the
Nurses' Notes client's hemoglobin level, latex
0630: allergy, and family history of ma-
Client reports restlessness and inability lignant hyperthermia should be
to sleep more than 3 to 4 hr per night for reported to the provider. When
the last week. Cli the client's hemoglobin level is
below the expected range, the
client might require blood prod-
ucts during the intraoperative
phase. The client's allergy to av-
ocados and bananas can indi-
cate an allergy to latex prod-
ucts and should be reported
to the provider. The surgical
team will need to remove all la-
tex products from the operating
room. During the intraoperative
phase, the nurses must be dili-
gent in monitoring the client's
vital signs and laboratory val-
ues, especially in a client who
has a family history of malignant
hyperthermia.
3. A nurse is caring for a client who is recov- Occupational therapist
ering from a stroke and is experiencing
difficulty using eating utensils. The nurse The nurse should identify the
should identify the need for a referral to need for a referral to an occu-
which of the following interprofessional pational therapist to teach the
team members? client how to use special eating
utensils.
4. A nurse is reviewing the electronic health A client who is newly diagnosed
records of four clients. Which of the fol- with tuberculosis
lowing client conditions should the nurse
, PN Comprehensive Online Practice 2023 A
Study online at https://quizlet.com/_fkrgbb
recognize as reportable to a regulatory
agency? The nurse should identify
that certain communicable dis-
eases, such as tuberculosis, re-
quire notification of the local
and state health departments.
5. A nurse is caring for a client who is be- List of potential complications to
ing discharged home following a cere- report
brovascular accident. Which of the fol-
lowing documents should the nurse plan Discharge instructions are de-
to include with the discharge report? fined as any form of documen-
tation provided to the client,
upon discharge to home, which
facilitates safe and appropri-
ate continuity of care. The
nurse should plan to include
a list of potential complica-
tions that should be reported to
the provider in the client's dis-
charge instructions.
6. A nurse is reinforcing teaching with the "I should offer my child yogurt
parent of a preschooler who has lactose that has a probiotic as a snack."
intolerance. Which of the following state-
ments by the parent indicates an under- Children who have lactose intol-
standing of the teaching? erance should be offered dairy
products that have a probiotic,
such as lactobacillus. The pro-
biotic promotes tolerance of lac-
tose in the colon.
7. A nurse is reinforcing teaching for a "I should check my blood sugar
client who has type 1 diabetes mellitus. if my appetite is decreased."
Which of the following client statements The nurse should instruct the
indicates an understanding of the teach- client to monitor blood glucose
ing? levels closely. Change in ap-
petite can be an early sign of
hyperglycemia and inadequate
, PN Comprehensive Online Practice 2023 A
Study online at https://quizlet.com/_fkrgbb
intake may cause blood glucose
to drop.
8. A nurse is collecting data from a client Difficulty concentrating
who has iron deficiency anemia. Which of
the following findings should the nurse
expect? In clients who have iron defi-
ciency anemia, body cells do
not receive the required oxy-
gen because there is less he-
moglobin for binding. The nurse
should recognize that impaired
oxygenation of brain tissue can
lead to dizziness and difficulty
concentrating.
9. A nurse is caring for a client who is im- Measles, mumps, and rubella
munocompromised. Which of the follow- (MMR)
ing immunizations is contraindicated?
The MMR vaccine consists of a
live virus and is contraindicated
for a client who is immunocom-
promised.
10. A nurse is caring for a client who has Provide a picture board.
expressive aphasia following a stroke.
Which of the following methods should A client who has expressive
the nurse use when communicating with aphasia has difficulty express-
the client? ing needs or wants through ver-
balization or writing. The use of
a picture board provides an al-
ternative means of communica-
tion that might be less frustrat-
ing for the client.
11. A nurse is preparing to administer insulin Prepare a new dose of insulin
to a client who has type 1 diabetes melli- for injection.
tus. After drawing up the medication, the
nurse accidentally brushes the needle on
Study online at https://quizlet.com/_fkrgbb
1. A nurse is assisting in the care of a client Select the 6 actions the nurse
who is 1 hr postpartum. should take.
Exhibit 1
Nurses' Notes Weigh the perineal pads.
1200: Insert an indwelling urinary
Large amount of lochia rubra noted on catheter.
perineal pad. Fundus boggy at two fin- Administer methylergonovine.
gerbreadths above the umbilicus.Oxy- Provide emotional support.
tocin 20 units being administered via Administer oxygen at 12 L/min
continuous IV infusion via nonrebreather face mask.
1215: Firmly massage the uterine fun-
Large amount of lochia rubra with sever- dus.
al large clots noted. Client reports feeling
anxious. Skin cool and clammy. Provider
notified. When taking action for the
Exhibit 2 client, the nurse should firm-
Vital Signs ly massage the uterine fundus,
1200: administer methylergonovine,
Temperature 37.5° C (99.5° F)Heart rate weigh the perineal pads, pro-
92/minRespiratory vide emotional support, insert
an indwelling urinary catheter,
and administer oxygen at 12
L/min via nonrebreather face
mask. The nurse should identify
that the client is experiencing a
postpartum hemorrhage, which
requires immediate intervention
to prevent hemorrhagic shock.
2. A nurse is collecting data from a client Click to highlight the data col-
who is scheduled for surgery. lection findings that the nurse
Exhibit 1 should report to the provider pri-
Vital Signs or to the procedure. To deselect
0630: a finding, click on the finding
Temperature 36.9° C (98.5° F)Heart again.
rate 74/minRespiratory rate 20/minBlood Hemoglobin level
pressure 122/76 mmHgOxygen satura- Allergy
tion 96% on room air Family history
0730:
, PN Comprehensive Online Practice 2023 A
Study online at https://quizlet.com/_fkrgbb
Temperature 36.9° C (98.5° F)Heart
rate 76/minRespiratory rate 20/minBlood
pressure 128/78 mmHgOxygen satura- When collecting data from the
tion 95% on room air client and analyzing cues, the
Exhibit 2 nurse should determine the
Nurses' Notes client's hemoglobin level, latex
0630: allergy, and family history of ma-
Client reports restlessness and inability lignant hyperthermia should be
to sleep more than 3 to 4 hr per night for reported to the provider. When
the last week. Cli the client's hemoglobin level is
below the expected range, the
client might require blood prod-
ucts during the intraoperative
phase. The client's allergy to av-
ocados and bananas can indi-
cate an allergy to latex prod-
ucts and should be reported
to the provider. The surgical
team will need to remove all la-
tex products from the operating
room. During the intraoperative
phase, the nurses must be dili-
gent in monitoring the client's
vital signs and laboratory val-
ues, especially in a client who
has a family history of malignant
hyperthermia.
3. A nurse is caring for a client who is recov- Occupational therapist
ering from a stroke and is experiencing
difficulty using eating utensils. The nurse The nurse should identify the
should identify the need for a referral to need for a referral to an occu-
which of the following interprofessional pational therapist to teach the
team members? client how to use special eating
utensils.
4. A nurse is reviewing the electronic health A client who is newly diagnosed
records of four clients. Which of the fol- with tuberculosis
lowing client conditions should the nurse
, PN Comprehensive Online Practice 2023 A
Study online at https://quizlet.com/_fkrgbb
recognize as reportable to a regulatory
agency? The nurse should identify
that certain communicable dis-
eases, such as tuberculosis, re-
quire notification of the local
and state health departments.
5. A nurse is caring for a client who is be- List of potential complications to
ing discharged home following a cere- report
brovascular accident. Which of the fol-
lowing documents should the nurse plan Discharge instructions are de-
to include with the discharge report? fined as any form of documen-
tation provided to the client,
upon discharge to home, which
facilitates safe and appropri-
ate continuity of care. The
nurse should plan to include
a list of potential complica-
tions that should be reported to
the provider in the client's dis-
charge instructions.
6. A nurse is reinforcing teaching with the "I should offer my child yogurt
parent of a preschooler who has lactose that has a probiotic as a snack."
intolerance. Which of the following state-
ments by the parent indicates an under- Children who have lactose intol-
standing of the teaching? erance should be offered dairy
products that have a probiotic,
such as lactobacillus. The pro-
biotic promotes tolerance of lac-
tose in the colon.
7. A nurse is reinforcing teaching for a "I should check my blood sugar
client who has type 1 diabetes mellitus. if my appetite is decreased."
Which of the following client statements The nurse should instruct the
indicates an understanding of the teach- client to monitor blood glucose
ing? levels closely. Change in ap-
petite can be an early sign of
hyperglycemia and inadequate
, PN Comprehensive Online Practice 2023 A
Study online at https://quizlet.com/_fkrgbb
intake may cause blood glucose
to drop.
8. A nurse is collecting data from a client Difficulty concentrating
who has iron deficiency anemia. Which of
the following findings should the nurse
expect? In clients who have iron defi-
ciency anemia, body cells do
not receive the required oxy-
gen because there is less he-
moglobin for binding. The nurse
should recognize that impaired
oxygenation of brain tissue can
lead to dizziness and difficulty
concentrating.
9. A nurse is caring for a client who is im- Measles, mumps, and rubella
munocompromised. Which of the follow- (MMR)
ing immunizations is contraindicated?
The MMR vaccine consists of a
live virus and is contraindicated
for a client who is immunocom-
promised.
10. A nurse is caring for a client who has Provide a picture board.
expressive aphasia following a stroke.
Which of the following methods should A client who has expressive
the nurse use when communicating with aphasia has difficulty express-
the client? ing needs or wants through ver-
balization or writing. The use of
a picture board provides an al-
ternative means of communica-
tion that might be less frustrat-
ing for the client.
11. A nurse is preparing to administer insulin Prepare a new dose of insulin
to a client who has type 1 diabetes melli- for injection.
tus. After drawing up the medication, the
nurse accidentally brushes the needle on
