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Determine the need for urinary catheterizations: This task requires a higher level of assessment and clinical judgment, typically performed by a registered nurse (RN) rather than a practical nurse (PN).

Receive a postoperative client and conduct the assessment: Assessing postoperative clients falls within the scope of practice of a PN, as they are trained to conduct assessments and provide basic care under the supervision of an RN.

Evaluate and update plans of care for clients: This task involves critical thinking and decision- making skills beyond the scope of a PN's role, typically performed by an RN

An abdominal binder can be worn daily to reduce the protrusion: This is not an appropriate intervention for an umbilical hernia in an infant. Abdominal binders are typically used for support after abdominal surgeries or to manage hernias in adults.

The quarter should be secured with an elastic bandage wrap: Taping a quarter over the umbilicus is not a recommended treatment for an umbilical hernia and could pose a choking hazard to the infant.

Restrictive clothing will be adequate to help the hernia go away: Restrictive clothing is not an effective treatment for umbilical hernias in infants and could potentially cause discomfort or complications.

Advise the client to place one nitroglycerin tablet under his tongue as a precaution: Nitroglycerin is contraindicated in combination with phosphodiesterase type 5 inhibitors like tadalafil due to the risk of severe hypotension. This action could worsen the client's condition.

Tell the client to have someone bring him to an emergency department immediately: Skin flushing is a common side effect of tadalafil and not necessarily indicative of a medical emergency, especially in the absence of chest pain or other concerning symptoms.

Instruct the client to increase his intake of oral fluids until the skin flushing is relieved Increasing fluid intake is not likely to alleviate the skin flushing associated with tadalafil. This response does not address the client's concern adequately.

An adolescent with multiple contusions due to a fall that occurred 2 days ago: While contusions may require assessment and management, they typically do not require the advanced nursing skills of an RN. This task could be appropriately managed by a practical nurse (PN).

A 75-year-old client with renal calculi who requires urine straining: Urine straining for renal calculi does not typically require the advanced nursing skills of an RN. This task could be appropriately managed by a practical nurse (PN).

A 64-year-old client who had a total hip replacement the previous day: Postoperative care following a total hip replacement requires close monitoring for complications such as bleeding, infection, and thromboembolism, as well as assessment and management of pain and mobility. This complex care requires the advanced nursing skills of an RN.

Osmolality: Osmolality measures the concentration of solutes in the blood and is not typically affected by naproxen or indicative of the reported symptoms.

Serum calcium: While naproxen can cause gastrointestinal irritation and ulceration, it does not typically affect serum calcium levels. Monitoring serum calcium would not directly address the client's reported symptoms.

Erythrocyte sedimentation rate (ESR): ESR is a nonspecific marker of inflammation and is not directly related to the reported symptoms of stomach pain, weakness, and fatigue associated with naproxen use.

Cover with a receiving blanket: This is incorrect because the phototherapy light needs to reach the infant's skin directly. Covering the infant with a blanket would block the light and reduce the effectiveness of the treatment.

Perform diaper changes under the light: While it is important to minimize the time the infant is away from the phototherapy light, diaper changes should be done quickly and efficiently, not necessarily under the light, to ensure cleanliness and to prevent any potential discomfort or safety issues.

Feed the infant every 4 hours: Feeding the infant is important, but the frequency of feeding should be based on the infant's needs and not specifically tied to the phototherapy schedule. Additionally, frequent feeding can help promote bowel movements, which can aid in the excretion of bilirubin.

Instructing the client to increase oral fluids might not address the underlying issue causing the skin flushing, especially considering the client's history of stable angina. Skin flushing could be indicative of a more serious cardiovascular issue.

Advising the client to take nitroglycerin could exacerbate any potential adverse effects caused by the tadalafil, as both medications can lower blood pressure and cause vasodilation. Without further assessment, administering nitroglycerin could be unsafe.

Tadalafil, a phosphodiesterase type 5 (PDE5) inhibitor, can potentiate the effects of nitricoxide-mediated vasodilation, potentially leading to significant hypotension, especially in clients with a history of cardiovascular disease like stable angina. The combination of tadalafil withnitroglycerin could result in severe hypotension and should prompt immediate evaluation in an emergency department.

A. Straining all urine is not a standard intervention for prostatitis. This is typically done for conditions like urinary stones, where fragments may need to be collected. Prostatitis does not require this intervention.

B. Maintaining contact isolation is unnecessary for prostatitis unless the client has an active infection with a multidrug-resistant organism requiring isolation precautions. Prostatitis alone does not warrant contact isolation.

D. Restricting oral fluid intake is not recommended. Adequate hydration is important for clients with prostatitis to help flush the urinary tract, reduce irritation, and promote healing. Restricting fluids could worsen symptoms and delay recovery.

Palpating the flank area may not be directly related to the care of the suprapubic catheter unless there are specific concerns or symptoms related to the renal system that warrantassessment of the kidneys.

While measuring abdominal girth can provide information about abdominal distention or fluid accumulation, it may not directly address the care needs related to the suprapubic catheter unless there are specific concerns related to catheter function or drainage.

Assessing the perineal area may be relevant for clients with other types of urinary catheters
(e.g., indwelling urethral catheters), but for clients with a suprapubic catheter, the focus is on the site of catheter insertion in the lower abdomen.

Provide typed instructions for healthy diet selections: While diet is important for overall health, hydration is the priority in this scenario due to the client's respiratory and vascular conditions.

Explain a daily regimen: While educating the client about a daily regimen is important, ensuring adequate hydration takes precedence in this situation.

Demonstrate specific strengthening exercises: While exercise is beneficial for clients with COPD and PVD, ensuring proper hydration is more critical for respiratory and cardiovascular function in this scenario.

Assessing pupillary response to light is not directly related to the administration of dopamine for hypotension and does not reflect the immediate effects of the medication on thecardiovascular or renal systems.

Seizure precautions are not a standard intervention for a patient receiving dopamine unless the patient has a history of seizures or there is another indication for such precautions.

While monitoring serum potassium levels is important in patients receiving IV therapy, it is not the most immediate concern when administering dopamine for hypotension, unless the
patient has a known electrolyte imbalance.

Fresh fruits and vegetables: While fruits and vegetables are important for overall health, they do not provide significant amounts of calcium, which is the primary nutrient needed for preventing osteoporosis.

Iron-rich meals: Iron-rich meals are important for preventing anemia but do not directly contribute to bone health and prevention of osteoporosis.

Water and herbal teas: While hydration is important for overall health, water and herbal teas do not provide significant amounts of calcium needed for bone health.

Inspect feet every month for ingrown nails, cuts, and calluses: Regular foot inspection is essential for detecting early signs of foot problems such as neuropathy, cuts, and ulcers, which are common complications of diabetes.

Arrange the diet schedule around three regular meals a day: While eating regular meals is important for managing blood sugar levels, foot care is more directly related to preventing diabetic complications such as foot ulcers.

Using salt, herbs, and spices will improve the flavor of foods: While reducing salt intake is
important for managing blood pressure and overall health, it is not directly related to foot care or diabetes management.

Support stockings may help with peripheral edema, but they do not address the underlying issue of hypoalbuminemia and its consequences.

Evaluating the patency of the AV graft is important for long-term planning of hemodialysis access, but it is not the immediate priority given the client's current nutritional status and symptoms.

Fluid restriction is important in managing peritoneal dialysis patients, but it does not address the immediate concern of hypoalbuminemia and its effects on the client's health.

When the client has ankle edema Ankle edema may indicate fluid retention, which is common during pregnancy but is not directly related to the assessment of deep tendon reflexes (DTRs).

Within the first trimester of pregnancy: Assessing DTRs within the first trimester of pregnancy is not specifically indicated unless there are other signs or symptoms of concern.

During admission to labor and delivery: While assessment of DTRs may be included in the admission assessment to labor and delivery, it is particularly important to assess DTRs if the client has an elevated blood pressure, as it may indicate preeclampsia.

An abdominal binder can be worn daily to reduce the protrusion: Using an abdominal binder is not recommended for treating umbilical hernias in infants, as they typically resolve spontaneously and do not require intervention.

Restrictive clothing will be adequate to help the hernia go away: Restrictive clothing is not necessary and will not affect the resolution of an umbilical hernia in infants.

The quarter should be secured with an elastic bandage wrap: Securing a quarter over the umbilicus with an elastic bandage wrap is not an appropriate treatment for an umbilical hernia and may cause harm.