A client who is postoperative is receiving an infusion at 80 mL/hour. At the end of 8
postoperative hours, the PN documents that the client tolerated 100 mL oral intake of
ice chips and urinary output is 1100 mL. What action should the PN take
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document the intake and output findings.
A client who had abdominal surgery yesterday is receiving morphine via a PCA. The
client reports a pain level of 6 based on a scale of 1-10. What actions should the PN
implement first?
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ask for a description of the pain
,The practical nurse is assessing a client and obtains a pulse rate of 120 beats/minute,
respiration of 28 breaths/minutes and a blood pressure of 80/60. What action should
the PN take first?
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position the client flat in the bed.
The practical nurse is administering medications to several clients. Which client
requires immediate action by the PN?
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a male client who states that his throat feels tight.
What information should the practical nurse provide a client who is selecting a site for
self-injection of insulin?
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rotate sites within the same location for a week before choosing a new
location.
A male client who walks in the clinic begins talking to the practical nurse with slurred
speech. which action should the PN implement first?
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, ask the client how he's feeling today
An UAP tells the PN that another nurse on the unit is acting disrespectfully. What
action should the PN implement?
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Tell the UAP to share feelings with the nurse
The practical nurse is assisting the nurse in the administration of a unit of blood to a
client with AB+ blood type. Which finding should the PN identify as a policy standard
that should be addressed first
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the client does not have an identification bracelet
A client is receiving supplemental oxygen. The practical nurse walks in the room and
sees a fire in the bedside wastebasket. Which action should the PN take first?
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take client out of the room
A client who is demonstrating violent behavior is restrained by personnel using a 4
man maneuver. Two days later, the practice nurse sees that the clients arm is
postoperative hours, the PN documents that the client tolerated 100 mL oral intake of
ice chips and urinary output is 1100 mL. What action should the PN take
Give this one a try later!
document the intake and output findings.
A client who had abdominal surgery yesterday is receiving morphine via a PCA. The
client reports a pain level of 6 based on a scale of 1-10. What actions should the PN
implement first?
Give this one a try later!
ask for a description of the pain
,The practical nurse is assessing a client and obtains a pulse rate of 120 beats/minute,
respiration of 28 breaths/minutes and a blood pressure of 80/60. What action should
the PN take first?
Give this one a try later!
position the client flat in the bed.
The practical nurse is administering medications to several clients. Which client
requires immediate action by the PN?
Give this one a try later!
a male client who states that his throat feels tight.
What information should the practical nurse provide a client who is selecting a site for
self-injection of insulin?
Give this one a try later!
rotate sites within the same location for a week before choosing a new
location.
A male client who walks in the clinic begins talking to the practical nurse with slurred
speech. which action should the PN implement first?
Give this one a try later!
, ask the client how he's feeling today
An UAP tells the PN that another nurse on the unit is acting disrespectfully. What
action should the PN implement?
Give this one a try later!
Tell the UAP to share feelings with the nurse
The practical nurse is assisting the nurse in the administration of a unit of blood to a
client with AB+ blood type. Which finding should the PN identify as a policy standard
that should be addressed first
Give this one a try later!
the client does not have an identification bracelet
A client is receiving supplemental oxygen. The practical nurse walks in the room and
sees a fire in the bedside wastebasket. Which action should the PN take first?
Give this one a try later!
take client out of the room
A client who is demonstrating violent behavior is restrained by personnel using a 4
man maneuver. Two days later, the practice nurse sees that the clients arm is
