client's baseline blood pressure during a routine health examination?
A. Measure the pressure in each arm while the client sits with the arm supported at
heart level.
B. Calculate the average blood pressure using readings obtained in both arms.
C. Obtain the blood pressure first with the client lying supine and then while standing.
D. Take additional measurements for readings with a 10 mm Hg difference.
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A. The blood pressure should be taken initially in both arms while the client
is seated or supine with the arm bared, supported, and positioned at the
level of the heart.
The practical nurse (PN) identifies a client's need for spiritual support. What is the first
action the PN should take?
, A. Refer the client to a client advocate or personal chaplain.
B. Provide the client with religious literature and references.
C. Suggest the client use one's religious faith to cope.
D. Determine the client's perceptions and belief system.
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D. Determine the client's perceptions and belief system.
Exploring the client's spirituality may reveal responses to health problems
that require nursing intervention. A client's perceptions and belief system
should be determined, which may reveal a strong set of resources that
enable the client to cope effectively. Once the client's value and belief
systems are assessed, then (A, B and C) may be implemented to provide
the client with spiritual support.
Which intervention provides confirmation of nasogastric tube (NGT) placement
before NGT feedings are started?
A. Flat plate xray of the abdomen.
B. Auscultation of the abdomen.
C. Determining stomach content pH.
D. Measuring residual stomach contents.
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A. An x-ray is the most accurate confirmation method of NGT placement
and should be done before formula feedings are initiated.
The practical nurse (PN) is applying a dry, sterile dressing to a client's abdominal
wound. Which allergy should the PN verify with the client?
A. Tape.