PN EXIT HESI Exam

picture. Which action should the PN take? a. Confirm accuracy of the pulse rate obtained by the UAP b. Instruct the UAP to report any abnormal findings c. Remind the UAP to check the clients pulse volume d. Demonstrate the correct pulse site to the UAP (follow the thumb for the radial pulse,follow the pinky for the brachial) Rationale: When checking the radial pulse, the index and middle 昀椀nger should be aligned with the thumb, for brachial pulse assessment should be aligned with the pinky finger. • The birth weight of an infant delivered by a woman with gestational diabetes is 10.1 pounds (4,581 grams). The infant is jittery and has a heel stick glucose level of 40 mg/dL(2.2 mmol/L or SI units) 30 minutes after birth. Based on this information, which intervention should the practical nurse (PN) implement first? a. Repeat the heel stick for glucose in one hour b. O昀昀er nipple feedings of 10% dextrose c. Begin frequent feedings of breast milk or formula d. Assess for signs of hypocalcemia Rationale: Providing frequent feedings will reduce the infants blood glucose; we wouldn’t want to obtain another heel stick as we want to do less invasive as possible.