The client was provided with preoperative teaching on deep breathing and coughing. How should you evaluate this teaching

Ask the client to demonstrate deep breathing and coughing

His nursing diagnosis is powerlessness related to lack of personal control. How can the nurse involve him in his POC

Assist to specify his health goals/prioritize those goals to his concerns

Mr.Bell has been transferred to LTC. As the team leader, what should the practical nurse do first?

Discuss with the team Mr.Bell's increase need for skin care

Mr.Henderson is wondering why his wife condition is decline so fast when her aunt has MS and is able to live at home

Inform him that people with MS each have their own patterns of progression

Mrs.Henderson's health rapidly declines.Her husband requests that tube feeding be started but advance directive says no

Follow the advance directive as. Indicated

What is the primary objective for the practical nurse using aseptic technique when changing a postoperative dressing?

It reduces the risk of contamination and wound infection

Mr.Bell isn't happy with his meeting with the transplant coordinator and starts yelling at family. What should you do 1?

Explore Mr.Bell understanding of the pros and cons of a transplant

At the 2nd feeding, She asks the nurse how to recognize when breastfeeding is going well. How should the nurse respond?

The newborn has at least six wet diapers per day

After attempting a variety of breastfeeding tech, she says she wants to switch to formula. What should the nurse do 1st?

Recommend that the client meet with a lactation consultant

Mrs.Henderson has a history of freq UTI. What should the PN do first?

Assess urinary elimination patterns

Mrs.Burke states that she has had some episodes of diarrhea/constipation. What action should the nurse take first?

Review her vowel pattern and ask her for her last BM

Which of the following indicates that the client is an active participant in his care?

The client asks questions about his care

Mrs.Tang delivered a healthy baby girl 2 hours ago. What is the nurse priority assessment of the mother?

Location and tone of the uterus

The physician's order reads insulin NPH 36 units with regular insulin 12 units. What process should the nurse use?

Inject 36 units of air into NPH/12 units of air into reg then withdraw reg

In preparing the newborn for d/c, the nurse notices that the baby is jaundiced.The nurse teaches the mom to address this

Feed the newborn a minimum of every 4 hours

Mrs.Burke has skin breakdown due to prolong periods in her wheelchair. What should the nurse do initially?

Ensure Mrs.Burke understands the importance of repositioning to reduce risk

The nurse explains the goals for diabetes management/prevention of complications. The nurse should do what first?

Assess health literacy to ascertain his understanding

Mrs/Mr Burke ask what are their options to becoming pregnant with her spinal cord injury.What info the nurse would give

Mrs.Burke may experience a higher incidence of complications pre/post

Mrs.Burke suddenly has a headache, nauseous, diaphoretic, face flushed,Bp elevated. What should the nurse do next?

Reasses VS and assess the urinary drainage system

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CPRNE 2020

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Questions 22

Answers

1
She recalls that the 1st day if her last period was Dec 14. What does the nurse doc as the clients expected date ?
Oct 7
Sept 21
Nov 11
Aug 17
2
The client was provided with preoperative teaching on deep breathing and coughing. How should you evaluate this teaching
Ask the client to demonstrate deep breathing and coughing
Have the client identify barriers to performing these exercises
Demonstrate deep breathing and coughing to the client
Have the client explain deep breathing and coughing
3
His nursing diagnosis is powerlessness related to lack of personal control. How can the nurse involve him in his POC
Dev an info booklet on hyperglycemia to which the client may ind refer
Create a plan of care to help manage the client's diabetes
Provide written material describing strategies other ppl with diabetes use
Assist to specify his health goals/prioritize those goals to his concerns
4
Mr.Bell has been transferred to LTC. As the team leader, what should the practical nurse do first?
Refer Mr.Bell to a dietitian for a high-iron diet
Continue to educate Mr.Bell in the advantages of a liver transplant
Delegate Mr.Bell's total care to an unregulated health care worker
Discuss with the team Mr.Bell's increase need for skin care
5
Mr.Henderson is wondering why his wife condition is decline so fast when her aunt has MS and is able to live at home
Discuss with him further treatment options to slow the disease progression
Ask him why he is concerned about his wife's condition
Explain to him that intensive physio will improve his wife's condition
Inform him that people with MS each have their own patterns of progression
6
Mrs.Henderson's health rapidly declines.Her husband requests that tube feeding be started but advance directive says no
Support the husband's concerns and notify the physician
Follow the advance directive as. Indicated
Explain to her husband that tube feeding will prolong her life
Remind her husband of the directive
7
What is the primary objective for the practical nurse using aseptic technique when changing a postoperative dressing?
It promotes the repair of abdominal tissues
It reduces the risk of contamination and wound infection
It allows the practical nurse to maintain a sterile field
It helps to prevent the spread of HIV
8
Mr.Bell isn't happy with his meeting with the transplant coordinator and starts yelling at family. What should you do 1?
Respect his right to refuse and accept the client's decision
Reinforce Mr.Bell's disinterest in meeting with the transplant coordinator
Arrange for a meeting between the client,family and social worker
Explore Mr.Bell understanding of the pros and cons of a transplant
9
At the 2nd feeding, She asks the nurse how to recognize when breastfeeding is going well. How should the nurse respond?
The newborn has at least six wet diapers per day
The mother breastfeeds at least 8-12 times per day
The mother experiences let down and uterine cramping with each feed
The newborn falls asleep readily after wash feed
10
Since the initial assessment and his admission, Mr. Bell's abd girth has increased by 14 cm. What order should be first?
Decrease his caloric intake to 1,400 cal daily
Apply oxygen at 2L/min via nasal cannula
Decrease his IV therapy TKVO
Apply antiembolic stocking to his legs
11
After attempting a variety of breastfeeding tech, she says she wants to switch to formula. What should the nurse do 1st?
Provide the client with literature in the benefits of breastfeeding
Recommend that the client meet with a lactation consultant
Reinforce tech to use for successful breastfeeding
Agree with the client's decisions to switch to bottle feeding
12
Mrs.Henderson has a history of freq UTI. What should the PN do first?
Insert an inderlling catheter
Assess urinary elimination patterns
Obtain a urine specimen
Offer cranberry juice
13
Mrs.Burke states that she has had some episodes of diarrhea/constipation. What action should the nurse take first?
Consult the dietitian to inc fiber intake and add prune juice to her diet
Prepare to perform a digital rectal exam
Place an incontinence product on Mrs.Burke
Review her vowel pattern and ask her for her last BM
14
Which of the following indicates that the client is an active participant in his care?
The client demonstrates an indifference to changes in his care
The client asks questions about his care
The client follows the directions of his family
The client reads the care plan thoroughly
15
Mrs.Tang delivered a healthy baby girl 2 hours ago. What is the nurse priority assessment of the mother?
Parent and infant attachment behaviors
Perineal edema and lochia
Location and tone of the uterus
Vital signs, especially blood pressure
16
What manifestations associated with liver function should the practical nurse report first?
Decrease consciousness
Yellowing of sclerae
Decreased appetite
Increase respiration's
17
The physician's order reads insulin NPH 36 units with regular insulin 12 units. What process should the nurse use?
Withdraw 36 U of insulin NPH followed by withdrawal of 12 U of reg insulin
Withdraw 12 U of reg insulin followed by withdrawal of 36 U of NPH insulin
Inject 12 U of air into reg/36 U of air into NPH then withdraw NPH
Inject 36 units of air into NPH/12 units of air into reg then withdraw reg
18
In preparing the newborn for d/c, the nurse notices that the baby is jaundiced.The nurse teaches the mom to address this
Feed the newborn a minimum of every 4 hours
Feed the newborn whenever she demands
Supplement with glucose water between feedings
Supplement with sterile water between feedings
19
Mrs.Burke has skin breakdown due to prolong periods in her wheelchair. What should the nurse do initially?
Ensure Mrs.Burke understands the importance of repositioning to reduce risk
Cleanse the area with sterile water and place a dressing over the breakdown
Make a note on chart to reposition every 2 hours to prevent pressure
Recommend Mrs.Burke remain in bed until area has completely healed
20
The nurse explains the goals for diabetes management/prevention of complications. The nurse should do what first?
Teach about disease processes and therapeutic management
Assess health literacy to ascertain his understanding
Provide knowledge related to the disease process
Reassure him that he will be able to manage his own care
21
Mrs/Mr Burke ask what are their options to becoming pregnant with her spinal cord injury.What info the nurse would give
If pregnancy occurred, a C-section would be required
Mrs.Burke ability to reproduce in unaffected by her injury
Mrs.Burke may experience a higher incidence of complications pre/post
The only way Mrs.Burke to become pregnant is by in vitro fertilization
22
Mrs.Burke suddenly has a headache, nauseous, diaphoretic, face flushed,Bp elevated. What should the nurse do next?
Check temp, heart rate and resp and admin a prn analgesic
Place in the trendelenburg position and admin an antiemetic medication
Reasses VS and assess the urinary drainage system
Perform a neurological assessment prior to notifying the physician

CPRNE 2020 Flashcards | StudBud