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Hesi bsn 225 rn fundamentals proctored exam nightingale
Total Questions : 65
Showing 10 questions, Sign in for moreA nurse administers a dose of acetaminophen 1000 mg, using two 500 mg tablets, to an adult client for a severe headache. Twenty minutes later, a second nurse inadvertently administers an identical second dose of acetaminophen 1000 mg for the same complaint. After assessing the client, notifying the healthcare provider, and completing an institutional incident report, which entry should the nurse document in the client's permanent medical record?
A client who is 2 days postoperative for thoracic surgery is reporting incisional pain 2 hours after receiving pain medication. The client rates the pain as 5 on a 0 to 10 scale. After placing a call to the healthcare provider, which action should the nurse implement?
A client assigned to a mental health unit visits with the significant other during the evening. After the significant other leaves, the nurse notices that the client is more isolative and refuses to attend the evening group. Which response by the nurse is most therapeutic?
A client's oxygen saturation level is 88
The home health nurse visits a client who has a serum sodium level of 123 mEq/L (123 mmol/L). To explore possible etiologies for this value, which querry should the nurse ask the client? Reference Range: Sodium [135 to 145 mEq/L (135 to 145 mmol/L)].
The nurse uses a sterile syringe to obtain a urine specimen from a client's indwelling urinary catheter. After placing the specimen in a biohazard bag, the nurse transports the specimen to the laboratory. During which part of this procedure should the nurse wear gloves?
An older adult woman comes to the clinic because of vaginal bleeding. The healthcare provider finds a vaginal tear, which the client reports is likely to have occurred during unprotected sexual intercourse. Which content is most important for the nurse to include in this client's teaching plan?
For each parameter, determine whether the client's status has improved or remained unchanged since the initial assessment. Each row must have one response option selected. Parameter Eye contact and verbal engagement with staff Interaction with daughter Participation in meaningful activities Expression of anger or irritability Sleep pattern and restfulness Appetite and oral intake.
The nurse plans to administer naloxone 1 mg. The label of the 10 mL vial indicates that the drug concentration is Naloxone 0.4 mg/mL. How many mL should the nurse administer? (Enter numeric value only. If rounding is required, round to the nearest tenth.) 2.5
Explanation
Step 1 is 1 mg ÷ (0.4 mg ÷ 1 mL).
Step 2 is 1 mg × (1 mL ÷ 0.4 mg).
Step 3 is 2.5 mL.
The stay-at-home parent of a severely disabled child reports difficulty sleeping, feelings of anxiety, and unexplained anger. Which is the best response from the nurse?
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