PN Study guides, Class notes & Summaries

The LPN/LVN is planning care for the a client who has fourth degree midline laceration that occurred during vaginal delivery of an 8 pound 10 ounce infant. What intervention has the highest priority? A. Administer Prescribed stool softener B. Administer prescribed PRN sleep medications. C. Encourage breastfeeding to promote uterine involution D. Encourage use of prescribed analgesic perineal spraysA. Administer Prescribed stool softener The LPN/LVN is palpating the right upper hypo...

A nurse is assisting in the care of a client who is 1 hr postpartum. Exhibit 1 Nurses' Notes 1200: Large amount of lochia rubra noted on perineal pad. Fundus boggy at two fingerbreadths above the umbilicus.Oxytocin 20 units being administered via continuous IV infusion 1215: Large amount of lochia rubra with several large clots noted. Client reports feeling anxious. Skin cool and clammy. Provider notified. Exhibit 2 Vital Signs 1200: Temperature 37.5° C (99.5° F)Heart rate 92/mi...

A nurse is caring for a client who has a prescription for famotidine 160 mg PO every 6 hr. Available is famotidine oral suspenision 40 mg/5 mL. How many mL should the nurse administer per dose?20 mL A nurse is collecting data from a client who has an iron deficiency anemia. Which of the following findings should the nurse expect?Difficulty concentrating *In clients who have iron deficiency anemia, body cells do not receive the required oxygen because there is less hemoglobin for bindi...

After reviewing the client's medical record, the nurse should report which of the following findings to the provider? Select the 5 findings that should be reported.When analyzing cues, the nurse should identify that the client's blood pressure. heart rate, temperature, speech pattern, and hallucinations are findings the nurse should report to the provider. The client's blood pressure is above the expected reference range, indicating hypertension. The heart rate is above the expected...

A nurse is administering oral hydroxyzine to a client. Which of the following adverse effects should the nurse instruct the client to expect?Dry mouth has anticholinergic properties A nurse is preparing to administer ampicillin 500 mg in 50 mL of dextrose 5% in water (D_W) to infuse over 15 min. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero ...

A nurse is assisting the provider with a developmental assessment of a toddler. Which of the following behaviors should the nurse recognize as an expected finding?Stands on one foot for several seconds. A nurse is contributing to the plan of care for a child who has sickle cell anemia and is experiencing a vast-occlusive crisis. Which of the following is the priority intervention for the nurse to recommend to include in the plan?Promote oxygen utilization. A nurse is reinforcing teachi...

A nurse is caring for a client who has a percutaneous endoscopic gastrostomy (PEG) tube and is receiving intermittent feedings. Prior to initiating the feeding, which of the following actions should the nurse take first?Place the client in semi Fowler's position. A client who is receiving a PEG tube feedings should be positioned with the head of the bed elevated at least 30° during and after feedings to decrease the risk of aspiration. A nurse is collecting data from a client who is e...

A nurse is discussing the difference between rheumatoid arthritis (RA) and osteoarthritis with a newly hired nurse. Which of the following information should the nurse include about osteoarthritis?osteoarthritis can impair a joint on a single side of the body. A nurse is reinforcing teaching with a client who has osteomyelitis of an open wound on his heel. Which of the following information should nurse"Osteoarthritis can impair a joint on a single side of the body." A nurse is reinf...

A nurse is reinforcing preoperative teaching with a client who is to undergo a pneumonectomy. The client states, "I am afraid it will hurt to cough after the surgery." Which of the following statements should the nurse make?"I will show you how to splint your incision while coughing." A nurse is caring for a client who has a tracheostomy with an inflated cuff in place. Which of the following findings indicates that the nurse should suction the clients airway secretions?The client ...

A nurse is completing documentation on the computer at the nurses station when an assistive personnel (AP) requests to use the computer to enter morning vital signs. Which of the following actions should the nurse take?Ask the AP to find another computer A nurse is caring for a client who is recovering following a total hip arthroplasty. The nurse receives a telephone call from the client's sibling requesting information about the client's status. Which of the following actions should...