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A 2 day old infant with hydrocephalus returns from surgery following placement
of a ventriculoperitoneal shunt which nursing
intervention should the practical nurse (PN) implement during postoperative care
• Document strict intake and out take
• Measure head circumference
• Monitor body temperature every 4 hours
The birth weight of an infant delivered by a woman with gestational diabetes is
10.1 pounds the infant is jittery and has a heel
stick glucose level of 40 30 minuets after birth based on this information which
interventions should the PN implement first
,Offer nipple feedings of 10% dextrose
The practical nurse (PN) and unlicensed assistive personal (UAP) enters a clients
room and finds the client lying on the bed the
PN determines that the client is unresponsive which action should the PN give the
UAP first
obtain emergency help
the practice nurse (PN ) is caring for a client with fractured metatarsals after
slamming a hand in the car door after
administering the prescribed hydrocodone/acetaminophen for pain which
intervention should the PN include in the client care?
Implement ongoing assessments for signs of shortness or slowed breathing
The practical nurse (PN) overhears the female client with crushing syndrome tell
her family in a very loud and anger voice to
leave her room and not come back the response by the PN is based on recognizing
which common manifestations of the
syndrome
Mood adherence
The parents with a one year old child with the diagnosis of hypospadias informed
the practical nurse (PN) that they plan to
,delay corrective surgery to see if the child will outgrow the problem which
information should the PN provide to these parents
Ask the patents to explain what they understand about the child's diagnosis
A child reviving chemotherapy develops a cough that productive of yellow tinged
sputum after determine that the client is
afebrile which priority action for the practice nurse (PN) to take?
Provide oral hygiene
The Glasgow scale is being used to monitor a client who experienced a traumatic
brain injury what primary assessment should
the PN evaluate
Level of consciousness
The practical nurse (PN) is assigned to care for a client who had an endoscopic
procedure in which a local anesthetic was
sprayed on their throat which priority action should the PN include in this care of
plan?
Assess the gag reflexes
The practical nurse (PN) is providing care for a client who is NPO after small
bowel resection the client NG tube is connected to
intermittent suction the client reports dizziness and tingling in digits which
assessment finding should the PN report to the
, healthcare proiver
Hypoactive bowel sounds on assessment
The patents of a child with pre diabetic report to thr practical nurse (PN) that the
child wants to join the soccer team what is
the best action for the PN to implement
Reassure the patents that increased physical activity reduces risk for diabetes
While assisting the RN with the admission of a toddler which intervention should
the practical nurse (PN) implement to make
the experience lease stressful for the client
Remove child's clothing down to the diaper
A client with hypertension complains of a persistent dry cough the practical nurse
(PN) should tell the client that this is a
common side effect with what medication
Quinapril
A practical nurse (Pn) is at the nurses station describing her social life sexual
activities and alcohol
drinking in a boisterous voice that might be heard by the client and visitors
Suggest going to the nurses lounge to discuss these topics