aBFmaleBFclientBFadmittedBFtheBFmorningBFofBFhisBFscheduledBFsurgeryBFtellsBFtheBFPN
BFthatBFheBFdrankBFwaterBFlastBFnight.BFWhatBFinterventionBFwillBFtheBFPNBFimplement
BFfirst?BF-BFcorrectBFanswer✔ ✔
DetermineBFtheBFamountBFofBFwaterBFandBFexactBFtimeBFitBFwasBFtaken
ABFclientBFreceivesBFondansetronBFpriorBFtoBFchemotherapyBFtreatment.HowBFshouldB
FtheBFPNBFevaluateBFthisBFmedication?BF-BFcorrectBFanswer✔ ✔
MonitorBFtheBFclientBFforBFnauseaBForBFvomitingBFfollowingBFtheBFtreatment
DuringBFmorningBFroundsBFaBFclientBFisBFadmittedBFwithBFOCDBFisBFinBFthe...ofBFtheBF
sameBFtable.BFWhatBFinterventionBFshouldBFtheBFPNBFimplementBFwhenBFapproached?
BF-BFcorrectBFanswer✔ ✔
ProvideBFtimeBFforBFtheBFbehaviorBFthenBFguideBFtheBFclientBFtoBFotherBFactivities
TheBFPNBFisBFcaringBFforBFanBFolderBFadultBFclientBFwhoBFisBFconfusedBFandBFspends...
factorBFcontributesBFtoBFanBFincreasedBFriskBFforBFimpairedBFskinBFintegrityBFforBFthisB
Fclient?BF-BFcorrectBFanswer✔ ✔
HasBFincreasingBFepisodesBFofBFurinaryBFincontinence
TheBFpnBFdeterminesBFthatBFaBFclientBFwithBFcirrhosisBFisBFexperiencingBFperipheral....
take?BF-BFcorrectBFanswer✔ ✔ ProtectBFtheBFclientsBFfeetBFfromBFinjury
ABFclientBFisBFadmittedBFtoBFtheBFpostoperativeBFsurgicalBFunitBFafterBFaBFleftBFlobecto
myBFwithBFtwoBFchestBFtubes......observesBFtheBFwater-
sealedBFchambers,BFsetBFandBFprescribedBFsuctionBFofBF20cmBFwater...whatBFactionBFs
,houldBFtheBFPNBFimplement?BF-BFcorrectBFanswer✔ ✔
MaintainBFsystemBFintegrityBFandBFtoBFpromoteBFlungBFreexpansion
photoBFofBFchestBFandBFlocatingBFapicalBFHRBF-BFcorrectBFanswer✔ ✔
justBFbelowBFtheBFleftBFnipple
AtBFtheBFendBFofBFaBF12-
hourBFshiftBFtheBFPNBFobservesBFtheBFurineBFinBFaBFclientsBFdrainage..whatBFactionBFsh
ouldBFtheBFPNBFtakeBFnext?BF-BFcorrectBFanswer✔ ✔
noteBFtheBFmostBFrecentBFwhiteBFbloodBFcount
ABFclientBFwithBFaBFcompoundBFfractureBFofBFtheBFleftBFankleBFisBFbeingBFdischargedBF
withBFaBFbelowBFtheBFkneeBFcast....PNBFprovideBFtoBFtheBFclientBFpriorBFtoBFdischarge?
BF-BFcorrectBFanswer✔ ✔ neverBFscratchBFunderBFtheBFcast
ThirtyBFminutesBFafterBFreceivingBFIVBFmorphine,BFaBFpostoperativeBFmaleBFclientBFco
ntinueBFtoBFrateBFhisBFpain...whatBFactionBFshouldBFtheBFPNBFimplementBFfirst?BF-
BFcorrectBFanswer✔ ✔ implementBFcomplementaryBFpainBFreliefBFmethods
ABFmaleBFclientBFhasBFbeenBFdiagnosedBFwithBFschizophreniaBFisBFwithdrawn,BFisolate
sBFhimselfBFin....withBFoneBForBFtwoBFwordBFresponses.BFtheBFmorningBFtheBFPNBFobse
rvesBFthatBFhe...WhichBFinterventionBFisBFmostBFimportantBFforBFtheBFPNBFtoBFimplem
ent?BF-BFcorrectBFanswer✔ ✔ MeasureBFappropriateBFvitalBFsigns
TheBFPNBFisBFassistingBFanBFunsteadyBFclientBFtoBFambulateBFfromBFtheBFbedBFtoBFtheBF
bath...clientBFlosesBFbalanceBFandBFfallsBFontoBFtheBFbedsideBFtable.BFwhatBFactionBFsh
,ouldBFtheBFPNBFtakeBFfirst?BF-BFcorrectBFanswer✔ ✔
StayBFwithBFtheBFclientBFandBFcallBFforBFassistance
TheBFPNBFisBFassistingBFaBFfemaleBFclientBFtoBFobtainBFaBFvoidedBFspecimenBFforBFuri..
.meatus.BFWhichBFinterventionBFisBFperformedBFnext?BF-BFcorrectBFanswer✔ ✔
initiateBFtheBFurineBFstream?
AnBF8-yearBFoldBFisBFplacedBFinBF90-
90BFtractionBFforBFaBFfracturedBFfemurBFthatBFresultedBFfrom...furtherBFactionBFbyBFthe
BFPN?BF-BFcorrectBFanswer✔ ✔ weightsBFareBFtouchingBFtheBFfootBFofBFtheBFbed
TheBFPNBFisBFreviewingBFdietBFinstructionsBFwithBFaBFfemaleBFclientBFwhoBFhasBFhype
r...sheBFhasBFincreasedBFherBFintakesBFofBFproteinBFandBFcalories.BFWhatBFactionBFshou
ldBFtheBFPNBFtake?BF-BFcorrectBFanswer✔ ✔
EncourageBFtheBFclientBFtoBFcontinueBFtheBFdietaryBFchangesBFsheBFhasBFmade
ABF3-
yearBFoldBFchildBFreturnsBFtoBFtheBFpediatriciansBFofficeBFforBFaBFpostoperativeBFvisitBF
afterBFhaving...procedure.BFTheBFPNBFshouldBFexpectBFtoBFobserveBFwhichBFbehaviorB
FthatBFindicates...BF-BFcorrectBFanswer✔ ✔
playsBFdoctorBFandBFnurseBFwithBFtheBFdolls
TheBFPNBFreviewsBFtheBFprocedureBFforBFmeasuringBFfluidBFintakeBFandBFoutputBF...gl
omerulonephritisBFandBFisBFpreparingBFforBFdischargeBFfromBFtheBFhospital.BFWhat...BF
-BFcorrectBFanswer✔ ✔ -whyBFtheBFfluidBFmeasurementsBFneedBFtoBFbeBFrecodedBF
-whichBFfoodBFtypesBFareBFincludedBFwhenBFmeasuringBFfluidBFtakeBF
-whatBFcontainerBFtoBFuseBFforBFtheBFmostBFaccurateBFmeasurement
, ABFmaleBFclientBFreceivesBFaBFprescriptionBFforBF3,000BFmgBFofBFmedicationBFdaily,BF
whichBFisBFavailable...takenBFtwiceBFdailyBFinBFequalBFdosages.HowBFmanyBFtabletsBF
shouldBFtheBFPN...BF-BFcorrectBFanswer✔ ✔ 3
...BF-BFcorrectBFanswer✔ ✔
requestBFreturnBFvisitBFforBFexaminationBFafterBFherBFperiodBFwhenBFhormonesBFareB
Flowest
ABFmotherBFbringsBFherBF5-
yearBFoldBFchildBFtoBFtheBFclinicBFforBFschoolBFphysicalBFexaminations.BFWhichBFasses
sment...BFPNBFthatBFintergenerationalBFviolenceBFmayBFbeBFoccurringBFinBFtheBFhome?
BF-BFcorrectBFanswer✔ ✔ -TheBF6-
yearBFoldBFsonBFhitsBFhisBFyoungerBFsisterBFduringBFtheBFinterviewBF
-theBF10-yearBFoldBFdaughterBFhasBFcircularBFburnsBFonBFherBFtrunkBFandBFlegs
-theBF3-yearBFoldBFhasBFmultipleBFbruisesBFonBFtheBFchestBFandBFbothBFlegs
ABFclientBFhasBFaBFprescriptionBFtoBFdiscontinueBFintravenousBFtherapyBFwhenBFtheBFli
terBFthatBFisBFinfusingBFatBF150BFmLBFperBFhourBFis...1200BFtheBFPNBFnotesBFthatBFthere
BFareBF750BFmlBFofBFsolutionBFremaining.AtBFwhatBFtimeBFshouldBFtheBFnurseBFexpectB
FtoBFdiscontinueBFtheBFintravenousBFtherapy?BF-BFcorrectBFanswer✔ ✔ 1700
theBFPNBFisBFcaringBFforBFaBFclientBFwhoBFhadBFaBFtotalBFlaryngectomy,BFleftBFradicalBF
neckBFdissection...BFclientBFisBFreceivingBFnasogastricBFtubeBFfeedingsBFviaBFanBFinter
nalBFpump.BFtodayBFtheBFrateBFofBFtheBFfeedingBFwasBFincreased...ml/hr.BFWhatBFpara
meterBFshouldBFtheBFPNBFuseBFtoBFevaluateBFtheBFclientsBFtolerateBFtoBFtheBFrateBFofBFth
eBFfeeding?BF-BFcorrectBFanswer✔ ✔ gastricBFresidualBFvolumes