PN comprehensive predictor B [2022] with rationales_Rated 100%

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PN comprehensive predictor B [2022] with rationales_Rated 100% A nurse at a long-term care facility is caring for a client who requires oral suctioning. Which of the following supplies should the n... urse plan to use for this task? Correct Answer: yankeurs catheter rationale: A Yankauer catheter is a clean suction catheter used when performing oral and oropharyngeal suctioning to remove secretions from the client's mouth to facilitate breathing or obtain a sample for diagnostic evaluation. A nurse in a long-term care facility is serving on the ethics committee, which is addressing a client care dilemma. Which of the following strategies will facilitate resolving the dilemma? (Select all that apply.) Correct Answer: [1] determine the facts related to the dilemma. [2] identify possible solution [3]consider the client wishes A nurse is talking with a client whose son died in a motor-vehicle crash 2 weeks ago. The client states, "l really thought I'd be back to my usual routines by now, but I can't think of anything else except that my son is gone." Which Of the following responses should the nurse make? Correct Answer: Grieving for your son is hard work. it will take as much time as you need to come to terms with your loss. A nurse is reinforcing teaching with a client about cancer prevention. The nurse should include that frequent consumption of which of the following foods increases the risk for developing cancer? Correct Answer: Lamb rationale: including tuna fish reduces risk of developing cancer. including poultry reduces risk, A nurse notices an assistive personnel (AP) taking a nap in the break room during meal time. The nurse also notes that the AP is drowsy while performing routine tasks. Which of the following actions should the nurse take? Correct Answer: Report the observation about the AP to the Unit nurse manager A nurse on a pediatric unit is collecting data from four newly admitted clients. Which of the following clients should the nurse identify as being at risk for urinary retention? Correct Answer: A school age child who has allergic rhinitis and is taking diphenhydramine. A nurse is caring for a client following a bronchoscopy. Which of the following actions should the nurse take first? Correct Answer: check for gag reflex A nurse is assisting with the admission of a client who has a latex allergy. The nurse should identify that which of the following supplies has the potential to contain latex? Correct Answer: Indwelling urinary catheter A nurse is performing postmortem care for a client prior to the arrival Of the client's family for viewing Of the body. Which Of the following actions should the nurse take? Correct Answer: Gently close the client's eyelids A nurse is reinforcing teaching with a client who has dumping syndrome about measures to reduce manifestations. Which of the following instructions should the nurse include in the teaching? Correct Answer: avoid foods high in sugar content. rationale: The nurse should instruct the client to avoid sweet foods, which often increase the manifestations of dumping syndrome. These manifestations include nausea, sweating, abdominal pain, diarrhea, and weakness. A nurse is collecting data from a client who is experiencing a situational crisis following the loss of a job. The client states, "l don't think I can go through this again." Which of the following actions is the nurse's priority? Correct Answer: Determine if the client is experiencing psychotic thinking. A nurse is contributing to the plan of care for a client following a transurethral resection of the prostate (TURP). Which of the following interventions should the nurse include? Correct Answer: Irrigate the bladder using sterile technique A nurse is caring for an infant who is receiving IV fluids for dehydration. Which of the following should the nurse recognize as a positive response to the therapy? Correct Answer: Moist mucus membranes. A nurse is assisting with the admission of a client who is experiencing alcohol withdrawal. Which of the following medications should the nurse expect the provider to prescribe for the client? Correct Answer: Chlordiazepoxide rationale: The nurse should expect to administer chlordiazepoxide to decrease anxiety and the risk for seizures associated with alcohol withdrawal. A nurse is caring for a client who is scheduled for surgery in the morning. The nurse learns that the client has decided not to have surgery even though they have already signed the informed consent form. Which of the following actions should the nurse take? Correct Answer: report the situation to the provider who obtained informed consent. A nurse is collecting data from a client who is in severe pain. Which of the following questions should the nurse ask first? Correct Answer: where is your pain located A nurse in a provider's office is reinforcing teaching with a client who has a new prescription for ferrous sulfate elixir. Which of the following statements by the client should indicate to the nurse an understanding of the teaching? Correct Answer: i will rinse my mouth after taking this medication A nurse is contributing to the plan of care for a client who is postoperative following a rhinoplasty. Which of the following interventions should the nurse recommend? Correct Answer: instruct the client to avoid the Valsalva maneuver. rationale. Valsalva ts such as straining during defecation or playing the saxophone entail performance of Valsalva maneuver A nurse is collecting data from a postpartum client who had a vaginal birth 2 days ago. Which Of the following findings is the nurse's priority to report to the provider? Correct Answer: client reports burning with urination. rationale: When using the urgent vs. nonurgent approach to client care, the nurse should determine that dysuria is a manifestation of a urinary tract infection. Therefore, the nurse should identify this as the priority finding to report to the provider. A nurse is preparing to administer digoxin to a client who has heart failure. Which Of the following findings should indicate to the nurse that the medication has been effective? Correct Answer: cardiac workload decreases A nurse is reinforcing teaching about stress management techniques with a client who has moderate anxiety disorder. Which of the following responses by the client indicates an understanding of the teaching? Correct Answer: i will imagine myself in a calm place when i cant concentrate A nurse is reinforcing teaching with a client about taking warfarin to treat atrial fibrillation. Which of the following statements by the client indicates an understanding of the teaching? Correct Answer: if i forget to take a dose i can take it later on the same day. A charge nurse in a long-term care facility notices an assistive personnel's (AP) repeated failure to provide oral care for clients. Which of the following actions should the charge nurse take? Correct Answer: Discuss this behavior with the AP while reinforcing expectaions. A nurse in a long-term care facility is observing a newly licensed nurse who is providing tracheostomy care for a client. The nurse identifies proper performance of the procedure when the newly licensed nurse selects which of the following solutions to clean the inner cannula? Correct Answer: Hydrogen peroxide A nurse is caring for a client who took an overdose of acetaminophen. Which of the following medications should the nurse plan to administer to the client? Correct Answer: acetylcysteine A nurse is caring for a client who is in Buck's traction. Which of the following actions should the nurse take? Correct Answer: allow the weight to hang freely A nurse is preparing to administer metoclopramide 10 mg IM. Available is metoclopramide 5 mg/mL How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) Correct Answer: 2 ml A nurse is reinforcing discharge instructions with the parent of an infant who has rotavirus. Which of the following statements by the parent indicates an understanding of the teaching? Correct Answer: i will apply diaper cream to my baby skin during each diaper change rationale: The nurse should reinforce to the parent that applying a skin barrier, such as zinc oxide, during diaper changes will minimize skin irritation from frequent stools. A charge nurse is observing a newly licensed nurse apply sterile gloves. Which of the following actions by the newly licensed nurse demonstrates sterile technique? Correct Answer: putting a glove on their dominant hand first. A nurse is reviewing laboratory reports for a client who has an Escherichia coli infection and is receiving gentamicin. Which of the following results should the nurse report to the provider before administering the next dose? Correct Answer: creatinine 2.5 [Show More]

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