HESI PN Comprehensive Exam 3

HESI PN Comprehensive Exam 3 A client's cardiac telemetry reveals sinus bradycardia at 40 beats/minute. An IV dose of atropine is given per protocol. Which finding should the practical nurse (PN) identify as a therapeutic response? (ANS - An increase in heart rate. A client is admitted with a tumor of the hypothalamus. Which finding should the practical nurse (PN) report to the charge nurse? (ANS - An oral temperature of 101.8° F. The practical nurse (PN) is reinforcing instructions to a client who is scheduled for a bone marrow aspiration. The PN should prepare the client for the procedure at which site? (ANS - The posterior iliac crest. Which discharge instructions should the practical nurse (PN) reinforce with a client who has acute cholecystitis? (ANS - Consume a low-fat diet in smaller, more frequent meals. A client with bipolar disorder is being treated with cognitive therapy. Which actions should the practical nurse (PN) implement to reenforce this treatment strategy? Select all that apply. (ANS – B. Use affirmations and limit setting. D. Report client's suicidal expressions to the therapist. E. Encourage substituting positive thoughts for negative thoughts. A male client draws back when the practical nurse (PN) reaches over the side rails to take his blood pressure. To promote effective communication, what should the PN do? (ANS - Apologize for startling the client and explain the need for contact. A client with delirium is confused and disoriented to time and place. He states he is experiencing visual illusions and tactile hallucinations. What actions in the plan of care should the practical nurse (PN) implement? Select all that apply. (ANS – C. Give simple explanations about nursing care to be given. D. Remove unnecessary furniture and equipment from the room. F. Identify oneself each time the client is approached. Following a client's bladder surgery, the practical nurse (PN) notes that the ureteral catheter is no longer draining urine. What action should the PN implement? (ANS - A. Notify the healthcare provider immediately. A male client is being discharged after starting a new prescription of olanzapine (Zyprexa) for paranoid schizophrenia. Which discharge instructions should the practical nurse (PN) reinforce with the client? (ANS - B. Avoid the use of antihistamines and alcohol