PN Comprehensive Online Practice 2023 A
Study online at https://quizlet.com/_feuij7
1. A nurse is assisting in the care of a client Select the 6 actions the nurse should take.
who is 1 hr postpartum.
Exhibit 1 Weigh the perineal pads.
Nurses' Notes Insert an indwelling urinary catheter.
1200: Administer methylergonovine.
Large amount of lochia rubra noted on Provide emotional support.
perineal pad. Fundus boggy at two finger- Administer oxygen at 12 L/min via nonre-
breadths above the umbilicus.Oxytocin breather face mask.
20 units being administered via continu- Firmly massage the uterine fundus.
ous IV infusion
1215:
When taking action for the client, the nurse
Large amount of lochia rubra with several
should firmly massage the uterine fun-
large clots noted. Client reports feeling
dus, administer methylergonovine, weigh the
anxious. Skin cool and clammy. Provider
perineal pads, provide emotional support,
notified.
insert an indwelling urinary catheter, and
Exhibit 2
administer oxygen at 12 L/min via nonre-
Vital Signs
breather face mask. The nurse should identify
1200:
that the client is experiencing a postpartum
Temperature 37.5° C (99.5° F)Heart rate
hemorrhage, which requires immediate in-
92/minRespiratory
tervention to prevent hemorrhagic shock.
2. A nurse is collecting data from a client Click to highlight the data collection findings
who is scheduled for surgery. that the nurse should report to the provider
Exhibit 1 prior to the procedure. To deselect a finding,
Vital Signs click on the finding again.
0630: Hemoglobin level
Temperature 36.9° C (98.5° F)Heart Allergy
rate 74/minRespiratory rate 20/minBlood Family history
pressure 122/76 mmHgOxygen satura-
tion 96% on room air
0730:
When collecting data from the client and
, PN Comprehensive Online Practice 2023 A
Study online at https://quizlet.com/_feuij7
Temperature 36.9° C (98.5° F)Heart analyzing cues, the nurse should determine
rate 76/minRespiratory rate 20/minBlood the client's hemoglobin level, latex allergy,
pressure 128/78 mmHgOxygen satura- and family history of malignant hyperthermia
tion 95% on room air should be reported to the provider. When
Exhibit 2 the client's hemoglobin level is below the ex-
Nurses' Notes pected range, the client might require blood
0630: products during the intraoperative phase.
Client reports restlessness and inability to The client's allergy to avocados and bananas
sleep more than 3 to 4 hr per night for the can indicate an allergy to latex products and
last week. Cli should be reported to the provider. The sur-
gical team will need to remove all latex prod-
ucts from the operating room. During the
intraoperative phase, the nurses must be dili-
gent in monitoring the client's vital signs and
laboratory values, especially in a client who
has a family history of malignant hyperther-
mia.
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 need for a re-
should identify the need for a referral to ferral to an occupational therapist to teach
which of the following interprofessional the client how to use special eating utensils.
team members?
4. A nurse is reviewing the electronic health A client who is newly diagnosed with tuber-
records of four clients. Which of the fol- culosis
lowing client conditions should the nurse
recognize as reportable to a regulatory
The nurse should identify that certain com-
agency?
municable diseases, such as tuberculosis, re-
, PN Comprehensive Online Practice 2023 A
Study online at https://quizlet.com/_feuij7
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 report
ing discharged home following a cere-
brovascular accident. Which of the follow- Discharge instructions are defined as any
ing documents should the nurse plan to form of documentation provided to the client,
include with the discharge report? upon discharge to home, which facilitates
safe and appropriate continuity of care. The
nurse should plan to include a list of potential
complications that should be reported to the
provider in the client's discharge instructions.
6. A nurse is reinforcing teaching with the "I should offer my child yogurt that has a
parent of a preschooler who has lactose probiotic as a snack."
intolerance. Which of the following state-
ments by the parent indicates an under- Children who have lactose intolerance should
standing of the teaching? be offered dairy products that have a probi-
otic, such as lactobacillus. The probiotic pro-
motes tolerance of lactose in the colon.
7. A nurse is reinforcing teaching for a client "I should check my blood sugar if my appetite
who has type 1 diabetes mellitus. Which is decreased."
of the following client statements indi- The nurse should instruct the client to mon-
cates an understanding of the teaching? itor blood glucose levels closely. Change in
appetite can be an early sign of hyper-
glycemia and inadequate 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
In clients who have iron deficiency anemia,
expect?
, PN Comprehensive Online Practice 2023 A
Study online at https://quizlet.com/_feuij7
body cells do not receive the required oxy-
gen because there is less hemoglobin for
binding. The nurse should recognize that im-
paired 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 (MMR)
munocompromised. Which of the follow-
ing immunizations is contraindicated?
The MMR vaccine consists of a live virus and is
contraindicated for a client who is immuno-
compromised.
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 aphasia has dif-
the nurse use when communicating with ficulty expressing needs or wants through
the client? verbalization or writing. The use of a picture
board provides an alternative means of com-
munication that might be less frustrating for
the client.
11. A nurse is preparing to administer insulin Prepare a new dose of insulin for injection.
to a client who has type 1 diabetes melli-
tus. After drawing up the medication, the
Insulin is administered using an insulin sy-
nurse accidentally brushes the needle on
ringe with a preattached needle. Therefore,
the counter's surface. Which of the fol-
to ensure the sterility of the needle, the nurse
lowing actions should the nurse take?
should prepare a new dose of insulin for in-
jection using a new syringe and new dose of
insulin.
12. A nurse is checking the reflexes of a new- Stroke the sole of the newborn's foot upward
born. Which of the following techniques and toward the great toe.
Study online at https://quizlet.com/_feuij7
1. A nurse is assisting in the care of a client Select the 6 actions the nurse should take.
who is 1 hr postpartum.
Exhibit 1 Weigh the perineal pads.
Nurses' Notes Insert an indwelling urinary catheter.
1200: Administer methylergonovine.
Large amount of lochia rubra noted on Provide emotional support.
perineal pad. Fundus boggy at two finger- Administer oxygen at 12 L/min via nonre-
breadths above the umbilicus.Oxytocin breather face mask.
20 units being administered via continu- Firmly massage the uterine fundus.
ous IV infusion
1215:
When taking action for the client, the nurse
Large amount of lochia rubra with several
should firmly massage the uterine fun-
large clots noted. Client reports feeling
dus, administer methylergonovine, weigh the
anxious. Skin cool and clammy. Provider
perineal pads, provide emotional support,
notified.
insert an indwelling urinary catheter, and
Exhibit 2
administer oxygen at 12 L/min via nonre-
Vital Signs
breather face mask. The nurse should identify
1200:
that the client is experiencing a postpartum
Temperature 37.5° C (99.5° F)Heart rate
hemorrhage, which requires immediate in-
92/minRespiratory
tervention to prevent hemorrhagic shock.
2. A nurse is collecting data from a client Click to highlight the data collection findings
who is scheduled for surgery. that the nurse should report to the provider
Exhibit 1 prior to the procedure. To deselect a finding,
Vital Signs click on the finding again.
0630: Hemoglobin level
Temperature 36.9° C (98.5° F)Heart Allergy
rate 74/minRespiratory rate 20/minBlood Family history
pressure 122/76 mmHgOxygen satura-
tion 96% on room air
0730:
When collecting data from the client and
, PN Comprehensive Online Practice 2023 A
Study online at https://quizlet.com/_feuij7
Temperature 36.9° C (98.5° F)Heart analyzing cues, the nurse should determine
rate 76/minRespiratory rate 20/minBlood the client's hemoglobin level, latex allergy,
pressure 128/78 mmHgOxygen satura- and family history of malignant hyperthermia
tion 95% on room air should be reported to the provider. When
Exhibit 2 the client's hemoglobin level is below the ex-
Nurses' Notes pected range, the client might require blood
0630: products during the intraoperative phase.
Client reports restlessness and inability to The client's allergy to avocados and bananas
sleep more than 3 to 4 hr per night for the can indicate an allergy to latex products and
last week. Cli should be reported to the provider. The sur-
gical team will need to remove all latex prod-
ucts from the operating room. During the
intraoperative phase, the nurses must be dili-
gent in monitoring the client's vital signs and
laboratory values, especially in a client who
has a family history of malignant hyperther-
mia.
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 need for a re-
should identify the need for a referral to ferral to an occupational therapist to teach
which of the following interprofessional the client how to use special eating utensils.
team members?
4. A nurse is reviewing the electronic health A client who is newly diagnosed with tuber-
records of four clients. Which of the fol- culosis
lowing client conditions should the nurse
recognize as reportable to a regulatory
The nurse should identify that certain com-
agency?
municable diseases, such as tuberculosis, re-
, PN Comprehensive Online Practice 2023 A
Study online at https://quizlet.com/_feuij7
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 report
ing discharged home following a cere-
brovascular accident. Which of the follow- Discharge instructions are defined as any
ing documents should the nurse plan to form of documentation provided to the client,
include with the discharge report? upon discharge to home, which facilitates
safe and appropriate continuity of care. The
nurse should plan to include a list of potential
complications that should be reported to the
provider in the client's discharge instructions.
6. A nurse is reinforcing teaching with the "I should offer my child yogurt that has a
parent of a preschooler who has lactose probiotic as a snack."
intolerance. Which of the following state-
ments by the parent indicates an under- Children who have lactose intolerance should
standing of the teaching? be offered dairy products that have a probi-
otic, such as lactobacillus. The probiotic pro-
motes tolerance of lactose in the colon.
7. A nurse is reinforcing teaching for a client "I should check my blood sugar if my appetite
who has type 1 diabetes mellitus. Which is decreased."
of the following client statements indi- The nurse should instruct the client to mon-
cates an understanding of the teaching? itor blood glucose levels closely. Change in
appetite can be an early sign of hyper-
glycemia and inadequate 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
In clients who have iron deficiency anemia,
expect?
, PN Comprehensive Online Practice 2023 A
Study online at https://quizlet.com/_feuij7
body cells do not receive the required oxy-
gen because there is less hemoglobin for
binding. The nurse should recognize that im-
paired 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 (MMR)
munocompromised. Which of the follow-
ing immunizations is contraindicated?
The MMR vaccine consists of a live virus and is
contraindicated for a client who is immuno-
compromised.
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 aphasia has dif-
the nurse use when communicating with ficulty expressing needs or wants through
the client? verbalization or writing. The use of a picture
board provides an alternative means of com-
munication that might be less frustrating for
the client.
11. A nurse is preparing to administer insulin Prepare a new dose of insulin for injection.
to a client who has type 1 diabetes melli-
tus. After drawing up the medication, the
Insulin is administered using an insulin sy-
nurse accidentally brushes the needle on
ringe with a preattached needle. Therefore,
the counter's surface. Which of the fol-
to ensure the sterility of the needle, the nurse
lowing actions should the nurse take?
should prepare a new dose of insulin for in-
jection using a new syringe and new dose of
insulin.
12. A nurse is checking the reflexes of a new- Stroke the sole of the newborn's foot upward
born. Which of the following techniques and toward the great toe.
