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Exam (elaborations)

PN Learning Fundamentals Practice Quiz 2 Questions AND Correct Answers

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PN Learning Fundamentals Practice Quiz 2 Questions AND Correct Answers

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PN Learning Fundamentals Practice Quiz 2 Questions AND
Correct Answers
***A nurse is administering a cleansing enema to a client who
is scheduled for a diagnostic procedure. Which of the
following actions should the nurse take? - ✔✔Insert the tip of
the tubing 8cm (3.1 in)


-The nurse should insert the tubing 7-10 cm (3-4 in) along the
rectal wall to prevent dislodging of the tube during the
procedure and injury to the rectal mucosa


***A nurse is applying antiembolitic stockings for a client who
has a history of DVT. Which of the following actions should
the nurse take when applying the stockings? - ✔✔Turn the
stocking inside out up to the heel before applying


-This helps make the application of the stocking easier and
cause less constrictive wrinkles


***A nurse is caring for a client who had a mastectomy and
has a self-suction drainage evacuator in place. Which of the
following actions should the nurse take to ensure proper
operation of the device? - ✔✔Collapse the device of air after
emptying

, -To create enough suction to pull fluid exudate into the
collection area of the device


***A nurse is caring for a client who is postoperative
following a vaginal hysterectomy and asks for a drink. Her
postoperative diet prescription reads: clear liquids; advance
diet as tolerated. Which of the following responses should the
nurse make? - ✔✔I'm going to listen to your abdomen


-The nurse should auscultate the client's abdomen to
determine the presence of bowel sounds before clear liquids
can be administered


***A nurse is caring for a group of clients who are receiving
oxygen therapy. Which of the following clients should the
nurse plan to see first? - ✔✔A client who has heart failure and
is receiving 100% oxygen via a partial rebreather mask


-The nurse should frequently check the bag on a rebreather
mask to ensure it inflates properly

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