The nurse is educating a client about essential hypertension prevention. Which information should the nurse provide? (Select all that apply)

Choice A reason: This is a correct answer because obtaining postoperative vital signs for a client one day following unilateral knee arthroplasty is a nursing action that can be assigned to the PN. Vital signs are measurements of the body's basic functions, such as temperature, pulse, blood pressure, and respiration. Vital signs should be monitored regularly after surgery to detect any signs of infection, bleeding, shock, or pain. The PN has the knowledge and skill to measure and record vital signs and report any abnormal findings to the nurse.

Choice B reason: This is a correct answer because performing daily surgical dressing change for a client who had an abdominal hysterectomy is a nursing action that can be assigned to the PN. Surgical dressing is a material that covers and protects a wound from infection, bleeding, or contamination. Surgical dressing should be changed daily or as needed to keep the wound clean and dry and promote healing. The PN has the knowledge and skill to perform surgical dressing change using sterile technique and appropriate equipment and report any signs of wound infection or dehiscence to the nurse.

Choice C reason: Initiating patient controlled analgesia (PCA) pumps for two clients immediately postoperatively is not a nursing action that can be assigned to the PN. PCA pump is a device that allows the client to self-administer pain medication through an IV line by pressing a button. PCA pump should be initiated by the nurse after verifying the prescription, setting the parameters, educating the client, and ensuring safety and effectiveness. The PN does not have the authority or competency to initiate PCA pump or adjust its settings.

Choice D reason: Starting the second blood transfusion for a client twelve hours following a below knee amputation is not a nursing action that can be assigned to the PN. Blood transfusion is a procedure that delivers donated blood or blood products into the client's bloodstream through an IV line. Blood transfusion should be started by the nurse after verifying the prescription, checking the blood type and compatibility, obtaining informed consent, and monitoring for any adverse reactions. The PN does not have the authority or competency to start blood transfusion or manage its complications.

Choice E reason: This is a correct answer because monitoring a dose of warfarin per protocol for a client with type 2 diabetes mellitus (DM) is a nursing action that can be assigned to the PN. Warfarin is an anticoagulant medication that prevents blood clots by inhibiting vitamin K dependent clotting factors. Warfarin should be monitored per protocol by checking the international normalized ratio (INR), which measures how long it takes for blood to clot. The PN has the knowledge and skill to monitor warfarin per protocol by obtaining blood samples, performing point-of-care testing, and reporting results to the nurse.

Choice A reason: Which medication works best for you? This is not the most important question, as it does not address the current status or risk of the client. The medication history is a part of the assessment, but it does not help identify the content or impact of the hallucinations.

Choice B reason: When do you hear voices? This is not the most important question, as it does not address the current status or risk of the client. The frequency and timing of the hallucinations are a part of the assessment, but they do not help identify the content or impact of the hallucinations.

Choice C reason: How do you cope with the voices? This is not the most important question, as it does not address the current status or risk of the client. The coping strategies are a part of the assessment, but they do not help identify the content or impact of the hallucinations.

Choice D reason: What are the voices saying? This is the most important question, as it addresses the current status and risk of the client. The content and impact of the hallucinations are a part of the assessment, as they can help identify if the client is experiencing command hallucinations, which may instruct them to harm themselves or others.