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A. Decrease his IV therapy to keep veins open
Fluid accumulation can be increased by IV therapy - CORRECT ANSWER: Mr. Bell, 76
years old, has been on the unit for the past 3 weeks with liver failure. His treatment
includes IV therapy of normal saline infusing at 100 mL per hour.
Since the initial assessment and his admission to the unit, Mr. Bell's abdominal girth has
increased by 14 cm. What order should the practical nurse anticipate first?
A. Decrease his IV therapy to keep the vein open
B. Apply oxygen at 2 L per minute via nasal cannula
C. Apply anti embolism stocking to his legs
D. Decrease his caloric intake to 1,400 calories daily
A. Encourage her to take her medication in the morning
The client will often to void after going to bed due to fluid in the legs returning to the
heart and then the kidneys for filtering after they lie down. To help the client get
undisturbed rest as possible, furosemide should be taken earlier in the day. - CORRECT
ANSWER: Mrs. McLean, 61 year old, is admitted with heart failure. She present with a
productive cough, dyspnea and lower leg edema. She is receiving oxygen 4 L per
minute via nasal cannula.she has an order for oxygen for digoxin 0.125mg, propranolol
(Inderal)80 mg and furosemide (Lasix) 40 mg
,Upon discharge, Mrs Maclean tells the PN that she plans to take half the prescribed
dose of furosemide because she will be up all night going to the bathroom. What should
the practical nurse do first?
A. Encourage her to take the medication in the morning
B. Suggest that she go to bed later in the evening
C. Recommend that she stops fluid intake 6 hours before bedtime
D. Encourage the use of inconvenient product
A. Ensure that Mrs. Burke understands why changing position is important
It is important to provide the client with the information to assume responsibility for her
health. - CORRECT ANSWER: Mrs. Burke, 26 years old, had a spinal cord injury at the
T5 level 8weeks ago has been transferred to the rehabilitation unit. She has an
indwelling urinary catheter.
Mrs. Burke has skin breakdown over her coccyx. She rarely rings for assistance
repositioning and sits for prolonged periods in her wheelchair. What should the practical
nurse do initially?
A) Ensure that Mrs. Burke understands why changing position is important.
B) Make a note on the chart to reposition Mrs. Burke every 2 hours.
C) Cleanse the coccyx with sterile water and place a sterile dressing over the broken
skin.
D) Recommend that Mrs. Burke remain in bed until her coccyx has completely healed.
A. Inject 36 units of air into the insulin NPH followed by 12 units of air into the regular
insulin, withdraw regular insulin and then withdraw NPH insulin.
,This is the correct sequence to use when mixing an intermediate-duration insulin. -
CORRECT ANSWER: Mr. Sutherland, a 34-year old obese man, has been diagnosed
with type 2 diabetes and requires diabetes education.
The physician's order reads intermediate-ACTING insulin NPH (Novolin ge NPH) 36
units with regular insulin 12 units subcutaneously. What process should the practical
nurse use?
A) Inject 36 units of air into the insulin NPH followed by 12 units of air into the regular
insulin, withdraw regular insulin a then withdraw NPH insulin.
B) Inject 12 units of air into the regular insulin followed by 36 units of air into the insulin
NPH, withdraw insulin NPH and then withdraw regular insulin.
C) Withdraw 12 units of regular insulin followed by withdrawal of 36 units of insulin NPH.
D) Withdraw 36 units of insulin NPH followed by withdrawal of 12 units of regular insulin.
A. Location and tone of the uterus
Hemorrhage is frequently cause by uterine stony and it is a major complication during
the recovery period. - CORRECT ANSWER: Mrs. Tang delivered a healthy baby girl
vaginal 2 hours ago. What is the practical nurse's priority assessment of the mother?
A) Location and tone of the uterus
B) Parent and infant attachment behaviours
C) Full set of vital signs
D) Perineal edema and lochia
A. September 21 - CORRECT ANSWER: Mrs. Tang recalls that the first day of her last
menstrual period was December 14. What should the practical nurse document as the
client expected date of delivery using Naegle's rule?
, A) September 21
B) October 7
C) August 17
D) November
A. The newborn has at least six wet diapers per day
This is a good indication of adequate intake and hydration - CORRECT ANSWER: Mrs.
Tang asks the PN how to recognize when breastfeeding is going well. How should the
practical nurse respond?
A) The newborn has at least six wet diapers per day.
B) The mother breastfeeds at least 8-12 times per day.
C) The newborn falls asleep readily after each feed.
D) The mother experiences let-down and uterine cramping with each feed.
A) Accompany the client to his room with permission, using a gentle touch to his
forearm.
This action provides privacy for the client and uses therapeutic touch within the social
zone. - CORRECT ANSWER: Mr. Gruen, 71 years old, has recently been diagnosed
with prostate cancer and is scheduled for surgery. He resides in a long-term care facility
and during breakfast in the dining room, he begins to cry. How should the practical
nurse best respond?
A) Accompany the client to his room with permission, using a gentle touch to his
forearm.
B) Gently hug the client for support with the intent to lead him back to his room for
privacy.