{"product_id":"proctored-study-guide-pn-fundamental-ngn-hesi","title":"(Proctored Exam Guide) PN fundamental ngn HESI","description":"\u003cp\u003e\u003cstrong\u003eAn elderly client with a fractured\u003c\/strong\u003e\u003cbr\u003e\u003cstrong\u003eleft hip is on strict bedrest. Which\u003c\/strong\u003e\u003cbr\u003e\u003cstrong\u003enursing measure is essential to the\u003c\/strong\u003e\u003cbr\u003e\u003cstrong\u003eclient's nursing care?\u003c\/strong\u003e\u003cbr\u003eA. Massage any reddened areas for\u003cbr\u003eat least five minutes.\u003cbr\u003eB. Encourage active range of motion exercises on extremities.\u003cbr\u003eC. Position the client laterally,\u003cbr\u003eprone, and dorsally in sequence.\u003cbr\u003eD. Gently lift the client when moving\u003cbr\u003einto a desired position.\u003cbr\u003eD. Gently lift the client when moving into a desired\u003cbr\u003eposition.\u003cbr\u003e\u003c\/p\u003e\n\u003cp\u003eTo avoid shearing forces when repositioning, the\u003cbr\u003eclient should be lifted gently across a surface (D).\u003cbr\u003eReddened areas should not be massaged\u003c\/p\u003e\n\u003cp\u003e (A) since\u003cbr\u003ethis may increase the damage to already traumatized\u003cbr\u003eskin. To control pain and muscle spasms, active range\u003cbr\u003eof motion\u003c\/p\u003e\n\u003cp\u003e(B) may be limited on the affected leg. The\u003cbr\u003eposition described in\u003c\/p\u003e\n\u003cp\u003e(C) is contraindicated for a client\u003cbr\u003ewith a fractured left hip.\u003c\/p\u003e\n\u003cp\u003e \u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eThe nurse is administering medications through a nasogastric tube\u003c\/strong\u003e\u003cbr\u003e\u003cstrong\u003e(NGT) which is connected to suction. After ensuring correct tube\u003c\/strong\u003e\u003cbr\u003e\u003cstrong\u003eplacement, what action should the\u003c\/strong\u003e\u003cbr\u003e\u003cstrong\u003enurse take next?\u003c\/strong\u003e\u003cbr\u003eA. Clamp the tube for 20 minutes.\u003cbr\u003eB. Flush the tube with water.\u003cbr\u003eC. Administer the medications as\u003cbr\u003eprescribed.\u003cbr\u003eD. Crush the tablets and dissolve in\u003cbr\u003esterile water.\u003cbr\u003eB. Flush the tube with water.\u003cbr\u003eThe NGT should be flushed before, after and in between each medication administered (B). Once all\u003cbr\u003emedications are administered, the NGT should be\u003cbr\u003eclamped for 20 minutes (A). (C and D) may be implemented only after the tubing has been flushed.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eA patient has signed a do-not-resuscitate (DNR) order. If a nurse performs cardiopulmonary\u003c\/strong\u003e\u003cbr\u003e\u003cstrong\u003eresuscitation (CPR) when the patient stops breathing\u003c\/strong\u003e\u003cbr\u003e\u003cstrong\u003eand then successfully revives the patient,\u003c\/strong\u003e\u003cbr\u003e\u003cstrong\u003ethe:\u003c\/strong\u003e\u003cbr\u003ea. nurse could be found guilty of battery.\u003cbr\u003eb. patient would have no grounds for legal action.\u003cbr\u003ec. patient could charge the nurse with false imprisonment.\u003cbr\u003ed. nurse could be found guilty of assault.\u003cbr\u003eANS: A\u003cbr\u003eA nurse who attempts CPR\u003cbr\u003eon a patient who had a doctor's order for a DNR could\u003cbr\u003ebe found\u003cbr\u003eguilty of battery.\u003c\/p\u003e\n\u003cp\u003e\u003cbr\u003e\u003cstrong\u003e2. The nurse is aware that the only necrotic wound for\u003c\/strong\u003e\u003cbr\u003e\u003cstrong\u003ewhich debridement is not recommended is\u003c\/strong\u003e\u003cbr\u003e\u003cstrong\u003ea pressure ulcer located on the:\u003c\/strong\u003e\u003cbr\u003ea. scapula.\u003cbr\u003eb. sacrum.\u003cbr\u003ec. heel.\u003cbr\u003ed. femoral head.\u003cbr\u003eANS: C\u003cbr\u003eDebridement is not recommended for treatment of a\u003cbr\u003epressure ulcer on the heel\u003cbr\u003ebecause of the\u003cbr\u003esmall amount of tissue available at that site.\u003c\/p\u003e\n\u003cp\u003e\u003cbr\u003e\u003cstrong\u003e3. The nurse clarifies that a vacuum-assisted closure\u003c\/strong\u003e\u003cbr\u003e\u003cstrong\u003esupports healing of a wound by:\u003c\/strong\u003e\u003cbr\u003ea. drawing the wound edges together by negative\u003cbr\u003epressure.\u003cbr\u003eb. interrupting the proliferation of bacteria in the\u003cbr\u003ewound.\u003cbr\u003ec. strengthening the wall of the wound.\u003cbr\u003ed. making an air occlusive cover for the wound.\u003cbr\u003eANS: A\u003cbr\u003eA vacuum-assisted dressing\u003cbr\u003ethat is accomplished by a\u003cbr\u003especial dressing and vacuum device\u003cbr\u003eapplies negative pressure to\u003cbr\u003ethe wound, which increases blood flow, increases oxygenation,\u003cbr\u003eand improves the delivery of\u003cbr\u003enutrients to the wound.\u003c\/p\u003e","brand":"NurseQuizPrep","offers":[{"title":"Default Title","offer_id":45646124515489,"sku":null,"price":15.0,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0685\/5806\/1729\/files\/generate-a-cover-page-with-distinctive-other-services-that-i-provide-including-1-proctored-exam-help-2-online-class-assistance-3-proctored-exam-help-4-masters-and-phd-degree-capstone.png?v=1768680320","url":"https:\/\/nursequizprep.store\/products\/proctored-study-guide-pn-fundamental-ngn-hesi","provider":"NurseQuizPrep","version":"1.0","type":"link"}