all advanced hesi pathophysiology advanced hesi test 1 advanced pathophysiology exam 1 advanced pathophysiology quiz 1 nurs 6501 walden university nrsg 6300 advanced pathophysiology 1 85 patho exa
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All advanced hesi pathophysiology
Advanced hesi test 1; Advanced Pathophysiology Exam 1; Advanced
Pathophysiology Quiz 1-Nurs 6501 Walden University; NRSG 6300 Advanced
Pathophysiology 1-85; Patho Exam 4; Practice Test 2- Advanced
Pathophysiology; Advanced Pathophysiology Exam 1 by ashton_kuchera; Adv.
Pathophysiology Test 2; Adv. Pathophysiology Module 1 Exam;
-a client reports feeling dizzy and lightheaded when moving from a supine position to a
standing position. what is the PN's priority intervention?
{{ANS}}obtain orthostatic blood pressures
-a client who has a pressure relieving mattress overlay is mobilized to a chair and
imprints of the clients buttocks, heels, and scapula are evident on the mattress overlay.
what should the PN implement?
{{ANS}}apply a different pressure relieving device and assess its effectiveness for this
client
-which nurse intervention should the PN use to prevent obstruction of a gastric feeding
tube?
{{ANS}}obtain a prescription for a liquid drug form instead of crushing tablets
-which intervention provides cofirmation of NGT placement
{{ANS}}flat plate x ray of abdomen
-when irrigating the external ear canals of an older adult client, which action should the
PN use to soften dry cerumen for removal?
{{ANS}}instill mineral oil in the external auditory canal overnight before irrigation
-when irrigating the eyes of the client, which action should the PN implement
{{ANS}}direct the irrigation flow from the inner canthus to the affected eye
-which technique should the PN use to give a z-track IM injection
{{ANS}}inject the medication into the dorsal gluteal site
-the PN hears breath sounds that are short, popping and discontinuous on inspiration
when auscultating a clients lungs. which description should the pn document in the
clients record
{{ANS}}crackles auscultating
-which information should the pn provide a client who is selecting a site for self-injection
of insulin?
{{ANS}}rotate sites within the same location for a week before choosing a new location
-a client is prescribed a medication that is labeled sustained release. what action should
the nurse implement when administering this drug form?
,{{ANS}}do not crush/dissolve the tablet or capsule contents
-the PN is administering scheduled morning medications to a client who states "i havent
sent he pill before. are you sure this is correct?" which action should to pn take?
{{ANS}}verify the prescription before administering the medication
-a client is receiving a daily prescription for lasix 40 mg PO but is unable to swallow. the
pn should consult with the healthcare provider about which component of the
prescription?
{{ANS}}the route of administration
-what nutritional information should the pn provide a client with heart failure
{{ANS}}restrict dietary sodium intake
-following a cholecystectomy, a client asks the pn about dietary restrictions that may
need to be followed. which diet should the pn recommend
{{ANS}}a well balanced diet with no other restrictions
-what position should the pn place a client who is receiving an enteral tube feeding?
{{ANS}}supine with the head of the bed elevated 30 to 45 degrees
-in planning care for an older client on the bed rest, which intervention should the pn
include in the prevention of pressure ulcers?
{{ANS}}elevate the head of the bed less than 30 degrees
-the pn is providing wound care for a client with stage 3 pressure ulcer on the left heel.
to achieve the goal, "an increase in granulation tissue will develop within 2 weeks"
which intervention should the pn implement
{{ANS}}irrigate wound with sterile normal saline
-the pn identifies several findings in an older female who is prolonged bed rest. which
finding requires prompt action by the pn?
{{ANS}}bowel movements decrease to one every third day
-which food should the pn recommend to a client as a source of complete protein?
{{ANS}}eggs
-what is most important for the pn to include when performing pain assessment after
giving analgesic
{{ANS}}use a pain scale to describe intensity
-which nurse assessment should the pn make to best evaluate a clients fluid status
{{ANS}}daily body weight
,-a client receiving supplemental oxygen needs to be suctioned to remove excess
secretions from the airway. which intervention should the pn implement to maximize the
clients oxygenation?
{{ANS}}provide oxygen during rest periods between suctioning
-a client is receiving a mantoux test for tb screening. what angle should the pn insert the
needle injection
{{ANS}}15 degrees
-the pn is obtaining the vital signs for a client who has a uti with methicillin resistent
staphylococcus aureus (mrsa)
{{ANS}}don a gown and gloves before entering the room
-the pn identifies a clients need for spiritual support. what is the first action the pn
should take?
{{ANS}}determine the clients perceptions and belief system
-which growth and developmental characteristic should the pn consider when
discussing spirituality with an adolescence
{{ANS}}questions religious practices and values
-which action by the pn demonstrates the value of dignity in client care
{{ANS}}closes the door and covers the client during a bath
-an older female recently diagnosed with coronary artery diseaase (CAD) cooks at
home using saturated fats. which intervention should the pn implement to help the client
reduce modifiable risk factor(s)
{{ANS}}encourage food preparation with various vegetable oils
-a client whose diet is low in fiber is at risk for which condition
{{ANS}}colon cancer
-an 80 year old male client who has arthritis and who is having difficulty walking tells the
pn "its awful to be old. it seems as though every day is a struggle. no one care about an
older person" what is the best response for the pn to provide?
{{ANS}}"it sounds as though youre having a difficult time. tell me about it"
-which food should the pn recommend for a client to increase the dietary intake of
potassium?
{{ANS}}baked potato
-the pn is obtaining information for a males clients psychosocial assessment. which
action should the pn implement first
{{ANS}}establish a therapeutic relationship
, -an older male client who is sedentary complains of not having a formed bowel
movement in four days and tells the pn that he feels rectal pressure and has a constant
headache. the pn determines the client is having frequent small, liquid stools. which
nursing action should the pn take first?
{{ANS}}digitally assess for impacted stool
-an older male client tells the practical nurse that his religion does not permit him to
bathe daily. how should the pn respond
{{ANS}}request that the client clarify his religious beliefs about bathing
-which time frame should the pn re-position the client
{{ANS}}every 2 hours
-the pn is giving oral care to an older female client with tender gums that bleed easily
because of a medication she is taking. what intervention should the pn implement?
{{ANS}}obtain a soft bristle brush for the client
-the pn is caring for an older client who is npo after surgery. the client complains that his
mouth and mucous membranes are dry. which intervention should the pn implement to
increase the clients comfort?
{{ANS}}perform oral hygiene frequently
-an older client is receiving ngt feedings for several days. which findings should the pn
report to the healthcare provider?
{{ANS}}abdominal distention and nausea
-which action should the pn implement to help a male client cope with his his fears as
he approaches death?
{{ANS}}"hold the clients hand and tell him he is not alone"
-a family member of a dying client asks the pn if the client knows the family is at the
bedside. the pn explains that which of the five senses persists the longest during the
dying process?
{{ANS}}hearing
-which action should the pn implement when supporting an older client who is afraid of
dying
{{ANS}}use open-ended questions to encourage the client to share feelings
-the pn contacts the health care provider about an older adult client who is agitated and
aggressive with the staff. which reason should the pn use to request a prescription for
wrist restraints
{{ANS}}to ensure the clients safety when the benefits outweigh the risk
-while taking an adults vital signs, the pn notes an irregular radial pulse. what action
should the pn implement to obtain the most accurate assessment
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