Hesi Pn Fundamentals Exam V2 – 2023

HESI PN FUNDAMENTALS EXAM V2 – 2023 During the initial physical assessment of a newly admitted client with a pressure ulcer, a LPN observes that the client's skin is dry and scaly. The nurse applies emollients and reinforces the dressing on the pressure ulcer. Legally, were the nurse's actions adequate? - The nurse provided supportive nursing care for the well-being of the client. A visitor comes to the nursing station and tells the nurse that a client and his relative had a fight and that the client is now lying unconscious on the floor. What is the most important action the LPN/LVN needs to take? A Ask the client if he is okay. - Ask security to make sure the room is safe To ensure the safety of a client who is receiving a continuous intravenous normal saline infusion, the LPN should change the administration set every - 72 to 96 hours A LPN/LVN is taking care of a client who has severe back pain as a result of a work injury. What nursing considerations should be made when determining the client's plan of care? Select all that apply. - Ask the client what is the client's acceptable level of pain. Administer the pain medications regularly around the clock The LPN/LVN is preparing to administer eardrops to a client that has impacted cerumen. Before administering the drops, the nurse will assess the client for which contraindications? Select all that apply - Allergy to the medication Drainage from the ear canal Tympanic membrane rupture What clinical indicators should the LPN/LVN expect a client with hyperkalemia to exhibit? Select all that apply – Diarrhea Weakness Dysrhythmias A health care provider has prescribed isoniazid (Laniazid) for a client. Which instruction should the LPN give the client about this medication? - Drinking alcohol daily can cause drug-induced hepatitis To minimize the side effects of the vincristine (Oncovin) that a client is receiving, what does the LPN/LVN expect the dietary plan to include? - High in fluids A postoperative client says to the nurse, "My neighbor, I mean the person in the next room, sings all night and keeps me awake." The neighboring client has dementia and is awaiting transfer to a nursing home. How can the LPN/LVN best handle this situation? - Move the neighboring client to a room at the end of the hall The nurse is providing postoperative care to a client who had a submucosal resection (SMR) for a deviated septum. The LPN should monitor for what complication associated with this type of surgery? - Expectoration of blood A nurse is reviewing a plan of care for a client who was admitted with dehydration as a result of prolonged watery diarrhea. Which prescription should the LPN/LVN question - Parenteral albumin (Albuminar) A client is to have mafenide (Sulfamylon) cream applied to burned areas. For which serious side effect of mafenide therapy should the LPN/LVN monitor this client? - Metabolic acidosis A LPN is preparing to administer an ophthalmic medication to a client. What techniques should the nurse use for this procedure? Select all that apply. - A Clean the eyelid and eyelashes.