PN fundamentals
A consumer 24 hour postop for restore of hernia He's tolerating clean drinks nicely and has
energetic bowel sounds and is expressing choice for actual meals the nurse says she can call
the surgeon to ask. What stage degree of vital wondering is that this - ANS-Basic
A client sitting within the chair I requested to go back to mattress what's the nurse is precedence
- ANS-Determine if the purchaser is able to assist with the switch
A purchaser who had a stroke is about to be transferred to a rehab center what is the
responsibility of the nurse - ANS-Ensure the consumer has ownership of his valuables
confirm the rehab middle has a room to be had on the time of switch
supply verbal transfer document over the phone
entire a transfer form to for the receiving facility
A client who has an indwelling catheter reports and need to urinate which of the following moves
should the nurse take - ANS-Check to see whether or not the catheter is patent.
A patron with COPD understands the use of the orthopenic function whilst she states she will be
able to do what whilst she has difficulty respiration - ANS-Sit on the aspect of her mattress and
rest her hands over pillows on pinnacle of her bedside desk
A nurse admitting a patient with a lovely Coley cystitis to the MedSurg unit what moves are
crucial steps of the admission manner - ANS-Explain the roles of the alternative care members
Began discharge making plans
Document the purchaser desires approximately organ donation
Introduce the purchaser to his roommate
A nurse educator is reviewing wound restoration technique with a collection of nurses the
educator have to include facts on the subsequent changes for wound recovery my secondary
purpose select all that apply - ANS-Stage III stress ulcer
open burn vicinity
A nurse has a affected person with history of falls what is her first precedence - ANS-Complete
a fall risk evaluation
A nurse has observed numerous occasions inside the beyond week while every other nurse on
the unit appeared drowsy and unable to focus on the problem handy. Today, she discovered the
nurse asleep in a chair in the spoil room when she became now not on a spoil. Which of the
subsequent movements ought to the nurse take? - ANS-Report the observations to the
, A nurse has prepared a sterile field for assisting a company with a chest tube insertion. Which
of the following activities should the nurse apprehend as contaminating the sterile discipline?
(Select all that practice) - ANS-The nurse moistens a cotton ball with sterile ordinary saline and
locations it on the sterile area.
The system is not on time 1 hr because the provider gets an emergency name.
The nurse turns to talk to someone who enters thru the door in the back of the nurse.
A nurse has eliminated a sterile p.C. From its out of doors cover and located it on a clean
paintings surface in coaching for an invasive technique. Which of the subsequent flaps need to
the nurse unfold first? - ANS-The flap farthest from the body
A nurse in a health practitioner's office is offering preoperative teaching for a consumer who is
scheduled for surgical treatment the following week. The client tells the nurse that he will put
together his enhance directives before he is going to the health facility. Which of the following
statements made with the aid of the purchaser must illustrate to the nurse an know-how of
strengthen directives? - ANS-I plan to jot down that I do not want them to preserve me on a
respiration machine."
A nurse is being concerned for a patron in a long-term care facility who become acquired an
ENTER AL feedings which of the subsequent movements must the nurse entire prior to
administering the tube feeding choose all that follow - ANS-Auscultation bowel sounds
Assist the patron to an upright role
check the pH of the gastric aspirate
A nurse is being concerned for a client who has a prescription for 24 hour urine series which of
the subsequent moves must the nurse take - ANS-Discard the primary void
A nurse is worrying for a purchaser who has a tracheostomy which of the subsequent actions
need to the nurse take one supplying tracheostomy care
Select all that follow - ANS-Apply the oxygen supply loosely if the SPO2 decreases for the
duration of the technique
Use surgical asepsis to get rid of and smooth the inner cannula
clean the outer surfaces in a round movement from the stoma website online outward
A nurse is being concerned for a patron who's approximately to undergo an non-obligatory
surgical treatment. The nurse ought to take which of the subsequent movements concerning
informed consent? (Select all that observe.) - ANS-Make certain the doctor received the patron's
consent. Witness the purchaser's signature Zon the consent shape.
A nurse is being concerned for a patron who is having trouble respiration the customer is
mendacity in bed and is already acquire an oxygen therapy via nasal cannula which of the
subsequent interventions is the nurse is priority - ANS-Assisted patron to Fowler's function
A consumer 24 hour postop for restore of hernia He's tolerating clean drinks nicely and has
energetic bowel sounds and is expressing choice for actual meals the nurse says she can call
the surgeon to ask. What stage degree of vital wondering is that this - ANS-Basic
A client sitting within the chair I requested to go back to mattress what's the nurse is precedence
- ANS-Determine if the purchaser is able to assist with the switch
A purchaser who had a stroke is about to be transferred to a rehab center what is the
responsibility of the nurse - ANS-Ensure the consumer has ownership of his valuables
confirm the rehab middle has a room to be had on the time of switch
supply verbal transfer document over the phone
entire a transfer form to for the receiving facility
A client who has an indwelling catheter reports and need to urinate which of the following moves
should the nurse take - ANS-Check to see whether or not the catheter is patent.
A patron with COPD understands the use of the orthopenic function whilst she states she will be
able to do what whilst she has difficulty respiration - ANS-Sit on the aspect of her mattress and
rest her hands over pillows on pinnacle of her bedside desk
A nurse admitting a patient with a lovely Coley cystitis to the MedSurg unit what moves are
crucial steps of the admission manner - ANS-Explain the roles of the alternative care members
Began discharge making plans
Document the purchaser desires approximately organ donation
Introduce the purchaser to his roommate
A nurse educator is reviewing wound restoration technique with a collection of nurses the
educator have to include facts on the subsequent changes for wound recovery my secondary
purpose select all that apply - ANS-Stage III stress ulcer
open burn vicinity
A nurse has a affected person with history of falls what is her first precedence - ANS-Complete
a fall risk evaluation
A nurse has observed numerous occasions inside the beyond week while every other nurse on
the unit appeared drowsy and unable to focus on the problem handy. Today, she discovered the
nurse asleep in a chair in the spoil room when she became now not on a spoil. Which of the
subsequent movements ought to the nurse take? - ANS-Report the observations to the
, A nurse has prepared a sterile field for assisting a company with a chest tube insertion. Which
of the following activities should the nurse apprehend as contaminating the sterile discipline?
(Select all that practice) - ANS-The nurse moistens a cotton ball with sterile ordinary saline and
locations it on the sterile area.
The system is not on time 1 hr because the provider gets an emergency name.
The nurse turns to talk to someone who enters thru the door in the back of the nurse.
A nurse has eliminated a sterile p.C. From its out of doors cover and located it on a clean
paintings surface in coaching for an invasive technique. Which of the subsequent flaps need to
the nurse unfold first? - ANS-The flap farthest from the body
A nurse in a health practitioner's office is offering preoperative teaching for a consumer who is
scheduled for surgical treatment the following week. The client tells the nurse that he will put
together his enhance directives before he is going to the health facility. Which of the following
statements made with the aid of the purchaser must illustrate to the nurse an know-how of
strengthen directives? - ANS-I plan to jot down that I do not want them to preserve me on a
respiration machine."
A nurse is being concerned for a patron in a long-term care facility who become acquired an
ENTER AL feedings which of the subsequent movements must the nurse entire prior to
administering the tube feeding choose all that follow - ANS-Auscultation bowel sounds
Assist the patron to an upright role
check the pH of the gastric aspirate
A nurse is being concerned for a client who has a prescription for 24 hour urine series which of
the subsequent moves must the nurse take - ANS-Discard the primary void
A nurse is worrying for a purchaser who has a tracheostomy which of the subsequent actions
need to the nurse take one supplying tracheostomy care
Select all that follow - ANS-Apply the oxygen supply loosely if the SPO2 decreases for the
duration of the technique
Use surgical asepsis to get rid of and smooth the inner cannula
clean the outer surfaces in a round movement from the stoma website online outward
A nurse is being concerned for a patron who's approximately to undergo an non-obligatory
surgical treatment. The nurse ought to take which of the subsequent movements concerning
informed consent? (Select all that observe.) - ANS-Make certain the doctor received the patron's
consent. Witness the purchaser's signature Zon the consent shape.
A nurse is being concerned for a patron who is having trouble respiration the customer is
mendacity in bed and is already acquire an oxygen therapy via nasal cannula which of the
subsequent interventions is the nurse is priority - ANS-Assisted patron to Fowler's function
