CPNRE 5ht edition gi gi
Studygionlinegiatgihttps://quizlet.com/
_c0wgu9
1.A 32-year- gi
old client has tested positive for the human immunodeficiency virus (HIV).
gi gi gi gi gi gi gi gi gi gi
Recently, the client was diagnosed with gallbladder disease and has been
gi gi gi gi gi gi gi gi gi gi gi
admitted to hospital for a cholecystectomy.
gi gi gi gi gi gi
The next THREE (3) questions refer to this case.
gi gi gi gi gi gi gi gi
1. Which of the following indicates that the client is an active participant in h
gi gi gi gi gi gi gi gi gi gi gi gi gi
is care?
gi
1. The client reads the care plan thoroughly.
gi gi gi gi gi gi
2. The client demonstrates an indifference to changes in his care.
gi gi gi gi gi gi gi gi gi
3. The client asks questions about his care.
gi gi gi gi gi gi
4. The client follows the directions of his family.: 1. Correct answer: 3
gi gi gi gi gi gi gi gi gi gi gi
1.This demonstrates an ability to read, but does not reflect active partic
gi gi gi gi gi gi gi gi gi gi gi
pation.
2.Indifference does not demonstrate interest or participation. gi gi gi gi gi gi
3.This demonstrates participation in the care plan by asking questions.
gi gi gi gi gi gi gi gi gi
4.Following directions does not demonstrate active participation.
gi gi gi gi gi gi
2.A 32-year- gi
old client has tested positive for the human immunodeficiency virus (HIV).
gi gi gi gi gi gi gi gi gi gi
Recently, the client was diagnosed with gallbladder disease and has been
gi gi gi gi gi gi gi gi gi gi gi
admitted to hospital for a cholecystectomy.
gi gi gi gi gi gi
1. The client was provided with preoperative teaching on deep breathing an
gi gi gi gi gi gi gi gi gi gi
d coughing. How should the practical nurse best evaluate the outcomes of
gi gi gi gi gi gi gi gi gi gi gi gi
the teaching?
gi
1. Have the client explain deep breathing and coughing.
gi gi gi gi gi gi gi
2. Have the client identify barriers to performing these exercises.
gi gi gi gi gi gi gi gi
3. Ask the client to demonstrate deep breathing and coughing.
gi gi gi gi gi gi gi gi
4. Demonstrate deep breathing and coughing to the client.: 1. Correct ans
gi gi gi gi gi gi gi gi gi gi
wer: 3 gi
1.This is part of the evaluation, but it does not measure application of the
gi gi gi gi gi gi gi gi gi gi gi gi gi
technique.
2.This does not measure that the client has learned the skill.
gi gi gi gi gi gi gi gi gi gi
3.Client action demonstrates learning. This provides an opportunity for t
gi gi gi gi gi gi gi gi gi
he practical nurse to evaluate client learning.
gi gi gi gi gi gi
4.This does not measure client lear
gi gi gi gi gi
ning. Classification gi
1gi/
gi136
, CPNRE 5ht edition
gi gi
Studygionlinegiatgihttps://quizlet.com/
3.Agi32-year-
_c0wgu9
old client has tested positive for the human immunodeficiency virus (HIV).
gi gi gi gi gi gi gi gi gi gi
Recently, the client was diagnosed with gallbladder disease and has been
gi gi gi gi gi gi gi gi gi gi gi
admitted to hospital for a cholecystectomy.
gi gi gi gi gi gi
2gi/
gi136
, CPNRE 5ht edition gi gi
Studygionlinegiatgihttps://quizlet.com/
_c0wgu9
1. What is the primary objective for the practical nurse using aseptic techniq
gi gi gi gi gi gi gi gi gi gi gi
ue when changing a postoperative dressing?
gi gi gi gi gi
1. It allows the practical nurse to maintain a sterile field.
gi gi gi gi gi gi gi gi gi
2. It helps to prevent the spread of HIV.
gi gi gi gi gi gi gi
3. It reduces the risk of contamination and wound infection.
gi gi gi gi gi gi gi gi
4. It promotes the repair of abdominal tissues.: 1. Correct answer: 3
gi gi gi gi gi gi gi gi gi gi
1.This does not explain the primary outcome of aseptic technique.
gi gi gi gi gi gi gi gi gi
2.The practical nurse may or may not dispose of the dressings correct
gi gi gi gi gi gi gi gi gi gi gi
ly. Aseptic technique may not minimize the spread of HIV.
gi gi gi gi gi gi gi gi gi
3.The primary objective of aseptic technique is to prevent microorganis
gi gi gi gi gi gi gi gi gi
ms from being introduced to the surgical wound, therefore reducing the
gi gi gi gi gi gi gi gi gi gi gi
risk of contamination and infection.
gi gi gi gi
4.Aseptic technique helps prevent infection and does not directly im
gi gi gi gi gi gi gi gi gi
pact tissue integrity.gi gi
4. Mr. Bell, 76 years old, has been on the unit for the past 3 weeks with live
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi
failure. His treatment includes IV therapy of normal saline infusing at 100 m
gi gi gi gi gi gi gi gi gi gi gi gi
per hour. gi
1. Since the initial assessment and his admission to the unit, Mr. Bell's ab-
gi gi gi gi gi gi gi gi gi gi gi gi
dominal girth has increased by 14 cm. What order should the practical nur
gi gi gi gi gi gi gi gi gi gi gi gi gi
se anticipate first?
gi gi
1. Decrease his IV therapy to keep the vein open. gi gi gi gi gi gi gi gi
2. Apply oxygen at 2 L per minute via nasal cannula.
gi gi gi gi gi gi gi gi gi
3. Apply antiembolic stockings to his legs. Decreasehiscaloricint
gi gi gi gi gi gi
aketo1,400calories daily: 1. Correct answer: 1 gi gi gi gi gi
1.Fluid accumulation can be increased by IV therapy.
gi gi gi gi gi gi gi
2.Oxygen is only applied when oxygen saturation is decreased.
gi gi gi gi gi gi gi gi
3.This will not have any effect on the abdomen.
gi gi gi gi gi gi gi gi
4.Weight gain in liver failure is due to fluid accumulation, not caloric inta
gi gi gi gi gi gi gi gi gi gi gi gi
ke.
5.Mr. Bell, 76 years old, has been on the unit for the past 3 weeks with live
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi
r failure. His treatment includes IV therapy of normal saline infusing at 100
gi gi gi gi gi gi gi gi gi gi gi gi gi
mL per hour. gi gi
1. What manifestation associated with liver failure should the practical nurs
gi gi gi gi gi gi gi gi gi
e report first?
gi gi
1. Yellowing of sclerae gi gi
2. Decreased appetite gi
3. Increased respirations gi
3gi/
gi136
, CPNRE 5ht edition gi gi
Studygionlinegiatgihttps://quizlet.com/
_c0wgu9
4. Decreased consciousness: 1. Correct answer: 4 gi gi gi gi gi
1.This is suggestive of disease decompensation and early liver failure.
gi gi gi gi gi gi gi gi gi
2.Decrease appetite is a manifestation of many diseases and would req gi gi gi gi gi gi gi gi gi gi
uire further investigation but is not life-threatening.
gi gi gi gi gi gi
3.Increased respirations are related to increased pressure on the diaphr gi gi gi gi gi gi gi gi gi
agm due to ascites. This would require further intervention; however, th
gi gi gi gi gi gi gi gi gi gi
is is not life threatening compared to decreased consciousness.
gi gi gi gi gi gi gi gi
4.Hepatic encephalopathy is a central nervous system manifestation that
gi gi gi gi gi gi gi gi
often leads to coma and death.
gi gi gi gi gi gi
6.Mr. Bell, 76 years old, has been on the unit for the past 3 weeks with live
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi
r failure. His treatment includes IV therapy of normal saline infusing at 100
gi gi gi gi gi gi gi gi gi gi gi gi gi
mL per hour. gi gi
1. Mr. Bell's family has arranged for a meeting with the transplant coordinato
gi gi gi gi gi gi gi gi gi gi gi
r. Mr. Bell does not agree with this consultation and yells at his family. Wh
gi gi gi gi gi gi gi gi gi gi gi gi gi gi
at should the practical nurse do first?
gi gi gi gi gi gi
1. Arrange for a meeting between the client, his family and a social worker.
gi gi gi gi gi gi gi gi gi gi gi gi
2. Explore Mr. Bell's understanding of the pros and cons of a transplant.
gi gi gi gi gi gi gi gi gi gi gi
3. Reinforce Mr. Bell's disinterest in meeting with the transplant coordinator
gi gi gi gi gi gi gi gi gi
4. Respect his right to refuse and accept the client's decision.: 1. Corr
gi gi gi gi gi gi gi gi gi gi gi
ect answer: 2 gi gi
1.This disregards the client. gi gi gi
2.This would help the client make an informed decision.
gi gi gi gi gi gi gi gi
3.Mr. Bell's informed decision- gi gi gi
making in his treatment options has not been estab- lished.
gi gi gi gi gi gi gi gi gi
4.Exploration of the client's understanding of his options and wishes is gi gi gi gi gi gi gi gi gi gi gi
necessary in order to ensure that he is making an informed decision.
gi gi gi gi gi gi gi gi gi gi gi
7.Mr. Bell, 76 years old, has been on the unit for the past 3 weeks with live
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi
r failure. His treatment includes IV therapy of normal saline infusing at 100
gi gi gi gi gi gi gi gi gi gi gi gi gi
mL per hour. gi gi
1. Mr. Bell has been transferred to a long-
gi gi gi gi gi gi gi
term care facility. As the team leader in the facility, what should the practic
gi gi gi gi gi gi gi gi gi gi gi gi gi
al nurse do first?
gi gi gi
1. Refer Mr. Bell to a dietitian for a high-iron diet.
gi gi gi gi gi gi gi gi gi
2. Delegate Mr. Bell's total care to an unregulated health worker.
gi gi gi gi gi gi gi gi gi
3. Discuss with the team Mr. Bell's increased need for skin care.
gi gi gi gi gi gi gi gi gi gi
4. Continue to educate Mr. Bell on the advantages of a liver transplant.: Corr
gi gi gi gi gi gi gi gi gi gi gi gi
ect answer: 3 gi gi
4gi/
gi136
Studygionlinegiatgihttps://quizlet.com/
_c0wgu9
1.A 32-year- gi
old client has tested positive for the human immunodeficiency virus (HIV).
gi gi gi gi gi gi gi gi gi gi
Recently, the client was diagnosed with gallbladder disease and has been
gi gi gi gi gi gi gi gi gi gi gi
admitted to hospital for a cholecystectomy.
gi gi gi gi gi gi
The next THREE (3) questions refer to this case.
gi gi gi gi gi gi gi gi
1. Which of the following indicates that the client is an active participant in h
gi gi gi gi gi gi gi gi gi gi gi gi gi
is care?
gi
1. The client reads the care plan thoroughly.
gi gi gi gi gi gi
2. The client demonstrates an indifference to changes in his care.
gi gi gi gi gi gi gi gi gi
3. The client asks questions about his care.
gi gi gi gi gi gi
4. The client follows the directions of his family.: 1. Correct answer: 3
gi gi gi gi gi gi gi gi gi gi gi
1.This demonstrates an ability to read, but does not reflect active partic
gi gi gi gi gi gi gi gi gi gi gi
pation.
2.Indifference does not demonstrate interest or participation. gi gi gi gi gi gi
3.This demonstrates participation in the care plan by asking questions.
gi gi gi gi gi gi gi gi gi
4.Following directions does not demonstrate active participation.
gi gi gi gi gi gi
2.A 32-year- gi
old client has tested positive for the human immunodeficiency virus (HIV).
gi gi gi gi gi gi gi gi gi gi
Recently, the client was diagnosed with gallbladder disease and has been
gi gi gi gi gi gi gi gi gi gi gi
admitted to hospital for a cholecystectomy.
gi gi gi gi gi gi
1. The client was provided with preoperative teaching on deep breathing an
gi gi gi gi gi gi gi gi gi gi
d coughing. How should the practical nurse best evaluate the outcomes of
gi gi gi gi gi gi gi gi gi gi gi gi
the teaching?
gi
1. Have the client explain deep breathing and coughing.
gi gi gi gi gi gi gi
2. Have the client identify barriers to performing these exercises.
gi gi gi gi gi gi gi gi
3. Ask the client to demonstrate deep breathing and coughing.
gi gi gi gi gi gi gi gi
4. Demonstrate deep breathing and coughing to the client.: 1. Correct ans
gi gi gi gi gi gi gi gi gi gi
wer: 3 gi
1.This is part of the evaluation, but it does not measure application of the
gi gi gi gi gi gi gi gi gi gi gi gi gi
technique.
2.This does not measure that the client has learned the skill.
gi gi gi gi gi gi gi gi gi gi
3.Client action demonstrates learning. This provides an opportunity for t
gi gi gi gi gi gi gi gi gi
he practical nurse to evaluate client learning.
gi gi gi gi gi gi
4.This does not measure client lear
gi gi gi gi gi
ning. Classification gi
1gi/
gi136
, CPNRE 5ht edition
gi gi
Studygionlinegiatgihttps://quizlet.com/
3.Agi32-year-
_c0wgu9
old client has tested positive for the human immunodeficiency virus (HIV).
gi gi gi gi gi gi gi gi gi gi
Recently, the client was diagnosed with gallbladder disease and has been
gi gi gi gi gi gi gi gi gi gi gi
admitted to hospital for a cholecystectomy.
gi gi gi gi gi gi
2gi/
gi136
, CPNRE 5ht edition gi gi
Studygionlinegiatgihttps://quizlet.com/
_c0wgu9
1. What is the primary objective for the practical nurse using aseptic techniq
gi gi gi gi gi gi gi gi gi gi gi
ue when changing a postoperative dressing?
gi gi gi gi gi
1. It allows the practical nurse to maintain a sterile field.
gi gi gi gi gi gi gi gi gi
2. It helps to prevent the spread of HIV.
gi gi gi gi gi gi gi
3. It reduces the risk of contamination and wound infection.
gi gi gi gi gi gi gi gi
4. It promotes the repair of abdominal tissues.: 1. Correct answer: 3
gi gi gi gi gi gi gi gi gi gi
1.This does not explain the primary outcome of aseptic technique.
gi gi gi gi gi gi gi gi gi
2.The practical nurse may or may not dispose of the dressings correct
gi gi gi gi gi gi gi gi gi gi gi
ly. Aseptic technique may not minimize the spread of HIV.
gi gi gi gi gi gi gi gi gi
3.The primary objective of aseptic technique is to prevent microorganis
gi gi gi gi gi gi gi gi gi
ms from being introduced to the surgical wound, therefore reducing the
gi gi gi gi gi gi gi gi gi gi gi
risk of contamination and infection.
gi gi gi gi
4.Aseptic technique helps prevent infection and does not directly im
gi gi gi gi gi gi gi gi gi
pact tissue integrity.gi gi
4. Mr. Bell, 76 years old, has been on the unit for the past 3 weeks with live
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi
failure. His treatment includes IV therapy of normal saline infusing at 100 m
gi gi gi gi gi gi gi gi gi gi gi gi
per hour. gi
1. Since the initial assessment and his admission to the unit, Mr. Bell's ab-
gi gi gi gi gi gi gi gi gi gi gi gi
dominal girth has increased by 14 cm. What order should the practical nur
gi gi gi gi gi gi gi gi gi gi gi gi gi
se anticipate first?
gi gi
1. Decrease his IV therapy to keep the vein open. gi gi gi gi gi gi gi gi
2. Apply oxygen at 2 L per minute via nasal cannula.
gi gi gi gi gi gi gi gi gi
3. Apply antiembolic stockings to his legs. Decreasehiscaloricint
gi gi gi gi gi gi
aketo1,400calories daily: 1. Correct answer: 1 gi gi gi gi gi
1.Fluid accumulation can be increased by IV therapy.
gi gi gi gi gi gi gi
2.Oxygen is only applied when oxygen saturation is decreased.
gi gi gi gi gi gi gi gi
3.This will not have any effect on the abdomen.
gi gi gi gi gi gi gi gi
4.Weight gain in liver failure is due to fluid accumulation, not caloric inta
gi gi gi gi gi gi gi gi gi gi gi gi
ke.
5.Mr. Bell, 76 years old, has been on the unit for the past 3 weeks with live
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi
r failure. His treatment includes IV therapy of normal saline infusing at 100
gi gi gi gi gi gi gi gi gi gi gi gi gi
mL per hour. gi gi
1. What manifestation associated with liver failure should the practical nurs
gi gi gi gi gi gi gi gi gi
e report first?
gi gi
1. Yellowing of sclerae gi gi
2. Decreased appetite gi
3. Increased respirations gi
3gi/
gi136
, CPNRE 5ht edition gi gi
Studygionlinegiatgihttps://quizlet.com/
_c0wgu9
4. Decreased consciousness: 1. Correct answer: 4 gi gi gi gi gi
1.This is suggestive of disease decompensation and early liver failure.
gi gi gi gi gi gi gi gi gi
2.Decrease appetite is a manifestation of many diseases and would req gi gi gi gi gi gi gi gi gi gi
uire further investigation but is not life-threatening.
gi gi gi gi gi gi
3.Increased respirations are related to increased pressure on the diaphr gi gi gi gi gi gi gi gi gi
agm due to ascites. This would require further intervention; however, th
gi gi gi gi gi gi gi gi gi gi
is is not life threatening compared to decreased consciousness.
gi gi gi gi gi gi gi gi
4.Hepatic encephalopathy is a central nervous system manifestation that
gi gi gi gi gi gi gi gi
often leads to coma and death.
gi gi gi gi gi gi
6.Mr. Bell, 76 years old, has been on the unit for the past 3 weeks with live
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi
r failure. His treatment includes IV therapy of normal saline infusing at 100
gi gi gi gi gi gi gi gi gi gi gi gi gi
mL per hour. gi gi
1. Mr. Bell's family has arranged for a meeting with the transplant coordinato
gi gi gi gi gi gi gi gi gi gi gi
r. Mr. Bell does not agree with this consultation and yells at his family. Wh
gi gi gi gi gi gi gi gi gi gi gi gi gi gi
at should the practical nurse do first?
gi gi gi gi gi gi
1. Arrange for a meeting between the client, his family and a social worker.
gi gi gi gi gi gi gi gi gi gi gi gi
2. Explore Mr. Bell's understanding of the pros and cons of a transplant.
gi gi gi gi gi gi gi gi gi gi gi
3. Reinforce Mr. Bell's disinterest in meeting with the transplant coordinator
gi gi gi gi gi gi gi gi gi
4. Respect his right to refuse and accept the client's decision.: 1. Corr
gi gi gi gi gi gi gi gi gi gi gi
ect answer: 2 gi gi
1.This disregards the client. gi gi gi
2.This would help the client make an informed decision.
gi gi gi gi gi gi gi gi
3.Mr. Bell's informed decision- gi gi gi
making in his treatment options has not been estab- lished.
gi gi gi gi gi gi gi gi gi
4.Exploration of the client's understanding of his options and wishes is gi gi gi gi gi gi gi gi gi gi gi
necessary in order to ensure that he is making an informed decision.
gi gi gi gi gi gi gi gi gi gi gi
7.Mr. Bell, 76 years old, has been on the unit for the past 3 weeks with live
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi
r failure. His treatment includes IV therapy of normal saline infusing at 100
gi gi gi gi gi gi gi gi gi gi gi gi gi
mL per hour. gi gi
1. Mr. Bell has been transferred to a long-
gi gi gi gi gi gi gi
term care facility. As the team leader in the facility, what should the practic
gi gi gi gi gi gi gi gi gi gi gi gi gi
al nurse do first?
gi gi gi
1. Refer Mr. Bell to a dietitian for a high-iron diet.
gi gi gi gi gi gi gi gi gi
2. Delegate Mr. Bell's total care to an unregulated health worker.
gi gi gi gi gi gi gi gi gi
3. Discuss with the team Mr. Bell's increased need for skin care.
gi gi gi gi gi gi gi gi gi gi
4. Continue to educate Mr. Bell on the advantages of a liver transplant.: Corr
gi gi gi gi gi gi gi gi gi gi gi gi
ect answer: 3 gi gi
4gi/
gi136
