Exam (elaborations) HESI LPN

HESI LPN EXIT EXAM MEREGED ACTUAL EXAM REVIEW Bone marrow samples are commonly aspirated from the posterior iliac crest or sternum, which are readily accessible obtaining a specimen of bone marrow via the biopsy needle. Which discharge instructions should the practical nurse (PN) reinforce with a client who has acute cholecystitis? A. Limit oral intake to three regular meals per day. B. Drink fluids between meals rather than with meals. C. Consume a low-fat diet in smaller, more frequent meals. D. Limit dietary fat intake to 35% of the daily calorie intake. C. Consume a low-fat diet in smaller, more frequent meals. Clients with acute cholecystitis are placed on small, frequent low-fat meals to decrease contraction of the gallbladder, thus decreasing pain, nausea, and vomiting. A male client draws back when the practical nurse (PN) reaches over the side rails to take his blood pressure. To promote effective communication, what should the PN do? A. Continue to perform the procedure quickly and quietly. B. Apologize for startling the client and explain the need for contact. C. Tell the client that the blood pressure can be taken at a later time. D. Rotate the nurses who are assigned to take the client's blood pressure. B. Apologize for startling the client and explain the need for contact. Nurses often have to enter a client's personal space to provide care, which requires respect for the client's privacy. Apologizing and explaining the need for contact demonstrates respect and provides information so the client may understand the need for personal contact. A client with delirium is confused and disoriented to time and place. He states he is experiencing visual illusions and tactile hallucinations. What actions in the plan of care should the practical nurse (PN) implement? Select all that apply. A. Interact in an energetic manner to dismiss misperceptions. B. Provide a wide variety of environmental stimuli. C. Give simple explanations about nursing care to be given. D. Remove unnecessary furniture and equipment from the room.