PN3 FINAL EXAM (100 Questions And Answers |Verified Answers

PN3 FINAL EXAM (100 Questions And Answers |Verified Answers

A client in an intensive care unit is scheduled for a lumbar puncture today. Upon assessment, A nurse finds a client's breathing is a regular with one pupil fixed and dilated. Which of the following is the nurse best?

a. Ensure their Information informed consent is on the chart

b. Document these findings for the client's record

c. Give the prescribe pre-ordered cetacean

d. Notify the provider findings immediately

A nurse is assessing a client who is in skeletal traction. Which of the following findings should the nurse identify as an infection at the pin sites?

a. Serosanguineous drainage

b. Mild erythema

c. Warmth

d. Fever

A nurse is assessing a client who has diabetes insipidus. Which of the following findings should the nurse expect?

a. Dehydration

b. Polyphagia

c. Hyperglycemia

d. Bradycardia

A client has been diagnosed with an ischemic stroke. The nurse realizes this client cannot have fibrinolytic therapy until which vital sign is addressed?

a. Blood pressure of 200/120

b. A heart rate of 116

c. Oxygen sat of 90%

d. RR of 24

The nurse is caring for a client with aphasia. The nurse knows this means the client has:

a. Inability to speak or comprehend language

b. Weakness in extremities

c. Disorientation to time, place and person

d. Difficulty swallowing

A client in the cardiac step down until reports severe, crushing chest pain, accompanied by nausea and vomiting. What action by the nurse takes priority?

a. Administer as aspirin

b. Call of an electrocardiogram

c. initiated a Rapid Response

d. Notify the provider

A nurse plains for a client who is recovering from below the knee amputation on the left leg. Which intervention with the nurse is included in the client's plan of care?

A. Place pillows between the client knees

B. Encourage range of motion exercises

C. Administer Prophylactic antibiotics

D. Implement strict bed rest in supine position

A nurse teachers a client that is a risk for carpal tunnel syndrome. Which health promotion activities would the nurse include in the clients teaching? SATA

A. Frequently assess equipment that's being used

B. Take breaks to strength fingers during working hours

C. Do not participate in activities that require repetitive actions

D. Take ibuprofen To decrease pain and swelling in the wrist

E. Adjust the height to allow good posture