a male client admitted the morning of his scheduled surgery tells the PN that he drank

water last night. What intervention will the PN implement first? - Determine the

amount of water and exact time it was taken

A client receives ondansetron prior to chemotherapy treatment.How should the PN

evaluate this medication? - Monitor the client for nausea or vomiting following the

treatment

During morning rounds a client is admitted with OCD is in the...of the same table.

What intervention should the PN implement when approached? - Provide time for the

behavior then guide the client to other activities

The PN is caring for an older adult client who is confused and spends...factor

contributes to an increased risk for impaired skin integrity for this client? - Has

increasing episodes of urinary incontinence

The pn determines that a client with cirrhosis is experiencing peripheral....take? -

Protect the clients feet from injury

A client is admitted to the postoperative surgical unit after a left lobectomy with two

chest tubes.....observes the water-sealed chambers, set and prescribed suction of 20cm

water. what action should the PN implement? - Maintain system integrity and to

promote lung reexpansion

photo of chest and locating apical HR - just below the left nipple

At the end of a 12-hour shift the PN observes the urine in a clients drainage..what

action should the PN take next? - note the most recent white blood count

A client with a compound fracture of the left ankle is being discharged with a below

the knee cast....PN provide to the client prior to discharge? - never scratch under the

cast