Answers | Latest Version | 2025/2026 |
Correct & Verified
What is the best action to prevent ventilator-associated pneumonia?
✔✔ Elevate the head of bed 30–45 degrees and perform oral care.
What should a PN do when a client with a urinary catheter has decreased urine output for two
hours?
✔✔ Assess for obstruction and notify the provider.
What is the priority assessment after administering digoxin?
✔✔ Check apical pulse and monitor for signs of toxicity.
What should a PN do when a client receiving IV potassium reports tingling around the IV site?
✔✔ Stop the infusion and assess for infiltration.
What is the first nursing action for a client experiencing hypotension after spinal anesthesia?
✔✔ Assess vital signs and apply IV fluids as ordered.
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,What is the safest method for a PN to give medications to a client with difficulty swallowing?
✔✔ Crush medications if appropriate and administer with thickened liquids.
What is the PN’s priority when a client develops sudden restlessness and agitation
postoperatively?
✔✔ Assess for hypoxia, bleeding, or other acute complications.
What should a PN do first if a client reports new onset chest pressure and nausea?
✔✔ Assess vital signs and monitor for myocardial ischemia.
What is the best intervention for a client with an elevated risk of aspiration while unconscious?
✔✔ Place the client in a side-lying position.
What is the PN’s priority action when a client with a tracheostomy develops sudden stridor?
✔✔ Assess airway patency and oxygenation immediately.
What should a PN do first if a client postoperatively has absent pedal pulses in one leg?
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, ✔✔ Assess circulation and notify the provider immediately.
What is the priority intervention for a client with signs of hypovolemic shock?
✔✔ Assess vital signs, apply oxygen, and initiate rapid fluid replacement as ordered.
What is the first action a PN should take when a client reports sudden shortness of breath?
✔✔ Assess airway, breathing, and oxygen saturation immediately.
How should a PN respond if a client’s IV site is red, swollen, and painful?
✔✔ Stop the IV, remove the catheter, and apply a warm compress if appropriate.
What is the priority intervention for a client with hypoglycemia?
✔✔ Check blood glucose and provide a fast-acting carbohydrate if low.
What should a PN do first when a client develops chest pain radiating to the left arm?
✔✔ Assess vital signs and notify the provider.
What is the safest position for a client experiencing respiratory distress?
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