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Which of the following is the first step in the nursing health assessment? - CORRECT ANSWER-wash the hands For a patient who has a percutaneous endoscopic gastrostomy (PEG), which position should a patient be in for feeding? - CORRECT ANSWER-Supine with head at least 30 degrees elevation
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Which of the following is the first step in the nursing health assessment? - CORRECT ANSWER-wash the hands For a patient who has a percutaneous endoscopic gastrostomy (PEG), which position should a patient be in for feeding? - CORRECT ANSWER-Supine with head at least 30 degrees elevation A condition in which a patient has blood in his or her urine is known as: - CORRECT ANSWER-hematuria A 26 years old medical student presents with an electrolyte imbalance. Which of the following is most likely to be seen as a symptom of hypomagnesemia? - CORRECT ANSWER-seizures A nurse is caring for a client who does not speak English. The nurse has arranged interpreter services and visual aids for the patient. Which of the following refers to working on another's behalf and representing the concerns of patients? - CORRECT ANSWER-advocacy A licensed practical nurse is providing follow-up teaching to patient on increasing her protein intake. The nurse knows the teaching is successful when the patient identifies which foods as high in protein? - CORRECT ANSWER-meats, beans and eggs A nurse is caring for a client with meningitis who tests positive for MRSA. Which of the following should be included in the plan of care? - CORRECT ANSWER-private room A nurse is caring for a client who reports difficulty urinating. The client states they avoid going due to severe discomfort during the stream flow. Which of the following is an appropriate nursing diagnosis for this patient? - CORRECT ANSWER-urinary elimination: altered, r/t pain on urination A diagnostic technique in which X-rays are projected through a body part and on to a fluorescent screen is known as what? - CORRECT ANSWER-fluoroscopy A 32 years old male presents to the emergency department. He shows signs of shortness of breath, tachycardia, and pallor. The patient states they feel tired. The nurse should expect which of the following conditions? - CORRECT ANSWER-anemia The Glasgow Coma Scale rates behavior in three different areas. Which of the following is not one of these areas? - CORRECT ANSWER-respirations
Which of the following is part of the proper procedure for collecting a "clean catch" urine specimen? Select all that apply. - CORRECT ANSWER-The patient should clean the genital/urinary area with a cleansing wipe, The patient should void some urine before beginning collection, The patient should collect urine from the middle of the stream A nurse is caring for a client with an acute alcohol intoxication. Which is the priority action? - CORRECT ANSWER-maintaining airway, breathing, and circulation The new graduate LPN/LVN has been assigned to float to a critical care unit, and has been given three critically ill clients to care for. The nurse should: - CORRECT ANSWER-Notify the supervisor that this care is outside the scope of care for the LPN/LVN Which of the following clients should be advised not to receive a magnetic resonance imaging scan (MRI)? - CORRECT ANSWER-A patient who has a pacemaker A nurse is caring for a 26 years old client complaining of abdominal pain upon urination. The client has an untreated sexually transmitted disease and hematuria is present. The nurse understands the diagnosis because hematuria refers to which of the following? - CORRECT ANSWER-presence of red blood cells in the urine A nurse is caring for a patient who says she eats a pescatarian diet. Which of the following should not be included in this patient's diet? - CORRECT ANSWER-beef broth A nurse is caring for a 22 years old female patient who has recently begun dialysis. She asks what types of foods she should avoid into her diet because they are high in potassium. Which of the following should the patient be advised to avoid? Select all that apply. - CORRECT ANSWER-banana, avocados, dried fruit When caring for a patient with heart failure, weight should be discussed. The ideal BMI is which of the following? - CORRECT ANSWER- 18 - 24. A 76 years old female patient who has undergone angioplasty in the last 9 days reports not having an appetite. She is passing very little urine and complains of pain just below her rib cage. Her feet are swollen with pitting edema. The patient's symptoms are consistent with which of the following? - CORRECT ANSWER-acute renal failure At the end of the shift, the nurse is ready to leave, but has not been relieved by the oncoming shift nurse. The nurse's responsibility to provide care for clients is part of the nurse's: - CORRECT ANSWER-Code of ethics A patient who has been vomiting profusely for three days is admitted to the medical unit. The patient is at risk for which of the following? - CORRECT ANSWER-fluid volume deficit