PN COMPREHENSIVE ONLINE PRACTICE 2025 B
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,1/30/25, 3:36 PM PN COMPREHENSIVE ONLINE PRACTICE 2025 B | 2 DIFFERENT VERSIONS | ALL QUESTIONS AND CORRECT ANSWERS | …
A nurse is assisting in the Select the 6 actions the nurse should take.
care of a client who is 1 hr
postpartum. Weigh the perineal pads.
Exhibit 1 Insert an indwelling urinary catheter.
Nurses' Notes Administer methylergonovine.
1200: Provide emotional support.
Large amount of lochia Administer oxygen at 12 L/min via nonrebreather face
rubra noted on perineal mask.
pad. Fundus boggy at two Firmly massage the uterine fundus.
fingerbreadths above the
umbilicus.Oxytocin 20
units being administered When taking action for the client, the nurse should
via continuous IV infusion firmly massage the uterine fundus, administer
1215: methylergonovine, weigh the perineal pads, provide
Large amount of lochia emotional support, insert an indwelling urinary
rubra with several large catheter, and administer oxygen at 12 L/min via
clots noted. Client reports nonrebreather face mask. The nurse should identify
feeling anxious. Skin cool that the client is experiencing a postpartum
and clammy. Provider hemorrhage, which requires immediate intervention to
notified. prevent hemorrhagic shock.
Exhibit 2
Vital Signs
1200:
Temperature 37.5° C (99.5°
F)Heart rate
92/minRespiratory
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,1/30/25, 3:36 PM PN COMPREHENSIVE ONLINE PRACTICE 2025 B | 2 DIFFERENT VERSIONS | ALL QUESTIONS AND CORRECT ANSWERS | …
A nurse is collecting data Click to highlight the data collection findings that the
from a client who is nurse should report to the provider prior to the
scheduled for surgery. procedure. To deselect a finding, click on the finding
Exhibit 1 again.
Vital Signs Hemoglobin level
0630: Allergy
Temperature 36.9° C (98.5° Family history
F)Heart rate
74/minRespiratory rate
20/minBlood pressure
122/76 mmHgOxygen When collecting data from the client and analyzing
saturation 96% on room air cues, the nurse should determine the client's
0730: hemoglobin level, latex allergy, and family history of
Temperature 36.9° C (98.5° malignant hyperthermia should be reported to the
F)Heart rate provider. When the client's hemoglobin level is below
76/minRespiratory rate the expected range, the client might require blood
20/minBlood pressure products during the intraoperative phase. The client's
128/78 mmHgOxygen allergy to avocados and bananas can indicate an
saturation 95% on room air allergy to latex products and should be reported to
Exhibit 2 the provider. The surgical team will need to remove all
Nurses' Notes latex products from the operating room. During the
0630: intraoperative phase, the nurses must be diligent in
Client reports restlessness monitoring the client's vital signs and laboratory
and inability to sleep more values, especially in a client who has a family history
than 3 to 4 hr per night for of malignant hyperthermia.
the last week. Cli
A nurse is caring for a Occupational therapist
client who is recovering
from a stroke and is The nurse should identify the need for a referral to an
experiencing difficulty occupational therapist to teach the client how to use
using eating utensils. The special eating utensils.
nurse should identify the
need for a referral to
which of the following
interprofessional team
members?
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, 1/30/25, 3:36 PM PN COMPREHENSIVE ONLINE PRACTICE 2025 B | 2 DIFFERENT VERSIONS | ALL QUESTIONS AND CORRECT ANSWERS | …
A nurse is reviewing the A client who is newly diagnosed with tuberculosis
electronic health records
of four clients. Which of
the following client The nurse should identify that certain communicable
conditions should the diseases, such as tuberculosis, require notification of
nurse recognize as the local and state health departments.
reportable to a regulatory
agency?
A nurse is caring for a List of potential complications to report
client who is being
discharged home Discharge instructions are defined as any form of
following a documentation provided to the client, upon discharge
cerebrovascular accident. to home, which facilitates safe and appropriate
Which of the following continuity of care. The nurse should plan to include a
documents should the list of potential complications that should be reported
nurse plan to include with to the provider in the client's discharge instructions.
the discharge report?
A nurse is reinforcing "I should offer my child yogurt that has a probiotic as
teaching with the parent a snack."
of a preschooler who has
lactose intolerance. Which Children who have lactose intolerance should be
of the following offered dairy products that have a probiotic, such as
statements by the parent lactobacillus. The probiotic promotes tolerance of
indicates an lactose in the colon.
understanding of the
teaching?
A nurse is reinforcing "I should check my blood sugar if my appetite is
teaching for a client who decreased."
has type 1 diabetes The nurse should instruct the client to monitor blood
mellitus. Which of the glucose levels closely. Change in appetite can be an
following client early sign of hyperglycemia and inadequate intake
statements indicates an may cause blood glucose to drop.
understanding of the
teaching?
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