Prioritize pain assessment for surgical clients before clients with chronic illness. Check with the pharmacy to ensure the dispensed medication is correct. D is the location of sensory and motor functions. Explain how many others function well with a prosthesis A. Oxygen saturation levels at different sites should be evaluated after the client returns to bed D. Take pain medication 30 minutes after your physical therapy sessions.
Compartment syndrome occurs when external pressure usually from a cast , or internal pressure usually from subcutaneous infused fluid , exceeds capillary perfusion pressure resulting in decreased blood flow to the extremity. Red meat and all proteins do not need to be eliminated B to lower cholesterol, but should be restricted to lean cuts of red meat and smaller portions 2-ounce servings. Establish a therapeutic relationship C. Foods such as eggs and milk A are high biologic proteins which are allowed because they are complete proteins and supply the essential amino acids that are necessary for growth and cell repair. The client is not yet demonstrating readiness to learn colostomy care D.
Has a good concept of a supreme being. The client with myasthenia gravis is at high risk for altered nutrition because of fatigue and muscle weakness resulting in dysphagia. Digitally assess for impacted stool C. I've always had the philosophy that there really is no sure fire way to study for these types of tests. C does not provide any nutritional value. Instruct client to avoid deep breathing D. C may be needed if the nursing actions were unsuccessful, or were unable to be implemented.
Gently lift the client when moving into a desired position. Correct Answer: C A postoperative client will need to perform daily dressing changes after discharge. The charge nurse who completed rounds 30 minutes before the fall occurred. Autopsy of the body is prohibited. Here are a few links which may be of assistance to you: selfstudy. Pain D is not a consideration.
I also believe each school can have the test customized or just use a standard version. Remove heal protector every 2 hours In planning care for an older client on bed rest, which intervention should the practical nurse include in the prevention of pressure ulcers? Dark amber urine is characteristic of fluid volume deficit, and the client should be encouraged to increase fluid intake D. Do you feel that you are overweight? Provide oxygen during rest periods between suctioning. A cannulated extremity is more difficult to move when the leg or foot is used. Correct Answer: B The healthcare provider prescribes 1,000 ml of Ringer's Lactate with 30 Units of Pitocin to run in over 4 hours for a client who has just delivered a 10 pound infant by cesarean section.
Suggest that the client also select orange juice, to promote absorption. Instill an acidic juice, such as cranberry, between intermittent feedings C. Hope this helps and good luck!!! Skim milk, turkey salad, roll, and vanilla ice cream. In some non-Western cultures, such as the Vietnamese culture, a client or family member may avoid eye contact as a form of respect, so the nurse should continue to ask the mother questions about the child B. Heres the link to the hesi website where you can purchase online access for the practice questions they have : evolve.
A, C, and D are not indicated. Wearing a mask while cleaning will not help to avoid allergens. A certified translator should be requested to ensure the exchanged information is reliable and unaltered. Which statement is accurate regarding the use of these practices? Start from top of incision moving to bottom D. The nature of the surgery and anesthesia will determine the need for a clear liquid diet D , rather than the client's preference. Direct the irrigation flow from the inner canthus to the outer canthus of the affected eye C.
Digitally remove a fecal impaction D. A vegetarian diet must be followed. Offer to stay with the client wile he makes his decision C. Administer analgesic medication as needed when the pain is severe. Correct Answer: C The center of gravity for adults is the hips.
Instruct the client regarding the need for the covering. B and D should be implemented once the client is positioned. I will limit my intake of beef to 4 ounces per week. A identifies vesicles -- fluid filled blisters -- an incorrect description given the symptoms listed. Clients should be instructed to avoid bending at the waist A , to seek assistance for both standing and walking until they are stable on a walker or cane C , and to take pain medication 20 to 30 minutes prior to physical therapy sessions, rather than waiting until the pain level is high after their therapy.