Video Library
Pn fundamentals 2023
Total Questions : 65
Showing 10 questions, Sign in for moreA nurse is collecting data from a client who has a BMI of 29. The nurse should document that the client is in which of the following weight categories?
A nurse is assisting with the care of a client who is experiencing dysphagia following a recent stroke. The nurse should initiate a referral to which of the following interprofessional team members?
Day 1:
1000:
A peripherally inserted central catheter (PICC) is inserted into left arm. Dressing dry and intact. Bilateral breath sounds clear and present throughout.
1200:
Parenteral nutrition started through PICC line infusing at 75 mL/hr.
Day 3:
0800:
A nurse is reviewing the medical record of a client who has a paralytic ileus.
Client is lethargic and reports thirst and frequent urination. Bilateral breath sounds clear and present throughout.
Drag words from the choices below to fill in each blank in the following
sentence.
The findings in the client's medical record indicate
Explanation
Hyperglycemia: The client's blood glucose levels are elevated, as indicated by the notation of hyperglycemia on Day 3. The symptoms of lethargy, thirst, and frequent urination further support the presence of hyperglycemia, which is often associated with parenteral nutrition due to its high glucose content.
Dehydration: The symptoms of lethargy and frequent urination can also indicate dehydration. The client’s thirst suggests a compensatory mechanism in response to potential fluid loss or insufficient fluid intake. Since parenteral nutrition can sometimes lead to imbalances if not monitored closely, dehydration is a possible concern in this scenario.
A nurse is reinforcing teaching about beginning an exercise program with an older adult client who is at risk for osteoporosis. Which of the following activities should the nurse recommend?
0800:
Client is 1 day postoperative following an open appendectomy. Client reports nausea and continued pain as 4 on a scale of 0 to 10. No emesis noted at this time, although client is reluctant to eat. Bowel sounds hypoactive. Lung sounds diminished in upper lobes with noted crackles in lower lobes. Respirations shallow, even, and unlabored. Client declined ambulation or incentive spirometry at this time. Incision to right lower abdomen intact, slightly reddened and without drainage. Ondansetron administered for nausea.
1000:
Client reports pain as 7 on scale of 0 to 10 with pain localized to right lower quadrant and without radiation. Reports pain is constant and dull with sharp pains experienced with movement. Morphine 2 mg IV bolus administered by RN.
A nurse is assisting with the care of a client.
A nurse is caring for a client who is postpartum. Which of the following documentations should the nurse include in the client's health record?
A nurse is preparing to obtain a capillary blood specimen from a client. Which of the following actions should the nurse take? (Select all that apply.)
A nurse on a medical-surgical unit is caring for a postoperative client who reports difficulty sleeping due to noise. Which of the following interventions is appropriate for the nurse to implement?
A nurse is reinforcing teaching with a client who has crutches regarding the use of the three-point gait. Which of the following instructions should the nurse include?
A nurse is collecting data from a client who is immobile and has a potential deep-vein thrombosis. Which of the following findings should the nurse report to the provider?
Sign Up or Login to view all the 65 Questions on this Exam
Join over 100,000+ nursing students using Naxlex’s science-backend flashcards, practice tests and expert solutions to improve their grades and reach their goals.
Sign Up Now
