HESI PN CASE STUDIES
Study online at https://quizlet.com/_6p3db4
1. The practical nurse Don a gown and gloves before entering the room.
(PN) is obtain- Rationale
ing the vital MRSA in the urinary tract requires contact isolation, which includes the use of a
signs for a client gown and gloves. In addition to gloves and a disposable stethoscope, a gown
who has a uri- should be worn to avoid potential contact with MRSA-contaminated environmen-
nary tract infection tal surfaces while taking vital signs. Although antiseptic wipes may be helpful if
with methicillin-re- disposables are not available, bedside equipment used for the client with MRSA
sistant Staphy- should remain in the room. Since the infection is in the urinary tract, not the
lococcus aureus respiratory system, a mask is not indicated while taking vital signs.
(MRSA). How
should the PN pro-
ceed?
2. When irrigating Instill mineral oil in the external auditory canal overnight before irrigation.
the external ear
canals of an older Rationale
adult client, which Mineral oil should be placed in the external auditory canal overnight to soften
action should the dry, impacted cerumen and facilitate removal. Warming the solution and using a
practical nurse 50 ml syringe can be implemented after the cerumen is softened for removal.
(PN) use to soften
dry cerumen for re-
moval?
3. Which intervention Flat plate xray of the abdomen.
provides confirma- Rationale
tion of nasogastric An x-ray is the most accurate confirmation method of NGT placement and should
tube (NGT) place- be done before formula feedings are initiated.
ment before NGT
feedings are start-
ed?
4.
1/3
Study online at https://quizlet.com/_6p3db4
1. The practical nurse Don a gown and gloves before entering the room.
(PN) is obtain- Rationale
ing the vital MRSA in the urinary tract requires contact isolation, which includes the use of a
signs for a client gown and gloves. In addition to gloves and a disposable stethoscope, a gown
who has a uri- should be worn to avoid potential contact with MRSA-contaminated environmen-
nary tract infection tal surfaces while taking vital signs. Although antiseptic wipes may be helpful if
with methicillin-re- disposables are not available, bedside equipment used for the client with MRSA
sistant Staphy- should remain in the room. Since the infection is in the urinary tract, not the
lococcus aureus respiratory system, a mask is not indicated while taking vital signs.
(MRSA). How
should the PN pro-
ceed?
2. When irrigating Instill mineral oil in the external auditory canal overnight before irrigation.
the external ear
canals of an older Rationale
adult client, which Mineral oil should be placed in the external auditory canal overnight to soften
action should the dry, impacted cerumen and facilitate removal. Warming the solution and using a
practical nurse 50 ml syringe can be implemented after the cerumen is softened for removal.
(PN) use to soften
dry cerumen for re-
moval?
3. Which intervention Flat plate xray of the abdomen.
provides confirma- Rationale
tion of nasogastric An x-ray is the most accurate confirmation method of NGT placement and should
tube (NGT) place- be done before formula feedings are initiated.
ment before NGT
feedings are start-
ed?
4.
1/3
