RN Comprehensive Online Practice 2019 B with NGN COMPLETE QUESTIONS AND ANSWERS

RN Comprehensive Online Practice 2019 B
with NGN COMPLETE QUESTIONS AND
ANSWERS


A hnurse hhas hjust hreceived hchange-of-shift hreport hon hfour hclients. hWhich hof

h the hfollowing hclients hshould hthe hnurse hassess hfirst?



A hclient hwho his hpostoperative hwith habdominal hdistention hand hno hbowel

h sounds



A hclient hwho hhas hdiabetes hmellitus hand ha hblood hglucose hlevel hof h105

h mg/dL



A hclient hwho hhas hheart hfailure hand h2+ hpitting hedema



A hclient hwho his hreceiving hmaintenance hIV hfluids hand hneeds ha hnew hIV

h catheter h- hANS-A hclient hwho his hpostoperative hwith habdominal hdistention

h and hno hbowel hsounds



Using hthe hacute hvs. hchronic happroach hto hclient hcare, hthe hnurse hshould hfirst

h assess hthe hclient hwho his hpostoperative hwith habdominal hdistention hand hno

,h bowel hsounds hbecause hthese hmanifestations hare hindications hof ha hparalytic

h ileus.



For heach hassessment hfinding, hclick hto hspecify hif hthe hfinding his hconsistent

h with hattention hdeficit hhyperactivity hdisorder h(ADHD) hor hintellectual

h disability h(ID). hEach hfinding hmay hsupport hmore hthan h1 hdisease hprocess.



Assessment hFindings

Intellectual himpairment

Interrupting hothers

Impaired hlanguage hskills

Hyperreactivity hto hsensory hinput

Losing hnecessary hthings



A hnurse his hcaring hfor ha hschool-age hchild.



Nurses' hNotes

First hvisit:

A hchild his hbrought hto hthe hclinic haccompanied hby hguardians. hThe hguardians

h have hreceived hfeedback hfrom hthe hchild's hteacher hthat hthe hchild hhas

h become hdisinterested hin hschoolwork hand hhas hdifficulty hpaying hattention

h during hclass. hThe hchild hoften hloses htheir hschool hsupplies.

,The hguardians hreport hthat hthe hchild hdemonstrates hthese hbehaviors hat hhome

h as hwell. hThe hchild hrefuses hto hparticipate hin hhousehold hchores, hkeeps htheir

h room huntidy, hdoes hnot hclean hup hwhen htold hto, hand his hgenerally hcareless

h and hdisi h- hANS-ADHD

Hyperreactivity hto hsensory hinput

Losing hnecessary hthings

Interrupting hothers

Intellectual himpairment



ID

Intellectual himpairment

Hyperreactivity hto hsensory hinput



When hanalyzing hcues, hthe hnurse hshould hidentify hthat hmanifestations hof

h ADHD hinclude hlosing hnecessary hthings, hinterrupting hothers, hintellectual

h impairment, hand hhyper hreactivity hto hsensory hinput. h



In hADHD, hthe hclient hoften hloses hnecessary hthings hin hdaily hlife, hsuch has

h pencils, herasers, hand hbooks. hThe hclient hoften hinterrupts hothers hand hhas

h difficulty hwaiting hfor htheir hturn hin hconversation. h

, The hclient hmight hhave han hintellectual himpairment, hwhich hcan hlead hto hpoor

h academic hperformance hand hdifficulties hwith hsocialization. hThe hclient hmight

h exhibit hhyperreactivity hor hhyporeactivity hto hstimuli.



A hcharge hnurse his hproviding han heducational hsession habout hinfection hcontrol

h for ha hgroup hof hstaff hnurses. hWhich hof hthe hfollowing hstatements hby hone hof

h the hstaff hnurses hindicates han hunderstanding hof hisolation hprecautions?



"Droplet hprecautions hshould hbe hinitiated hfor ha hclient hwho htests hpositive hfor

h measles."



"A hclient hwho hrequires hairborne hprecautions hshould hbe hplaced hin ha

h negative-pressure hairflow hroom."



"Airborne hprecautions hshould hbe hinitiated hfor ha hclient hwho hhas hClostridium

h difficile."



"A hclient hwho his himmunocompromised hshould hbe hplaced hin ha hnegative-

pressure hairflow hroom." h- hANS-A hclient hwho hrequires hairborne hprecautions

h should hbe hplaced hin ha hnegative-pressure hairflow hroom."



Airborne hprecautions hrequire ha hnegative-pressure hairflow hroom hthat hhas hat

h least hsix hto h12 hair hexchanges heach hhour husing ha hHEPA hfiltration hsystem.