RN PROCTORED COMPREHENSIVE PREDICTOR 2019 FORM B

1. Patient refused a newly open fentanyl patch. Which of the following actions should the nurse take? Ask another nurse to witness the disposal of the new patch. 2. Client receiving heparin continuous IV infusion and warfarin 5 mg PO daily. Lab values are aPTT 98 seconds and INR 1.8 Withhold the heparin infusion 3. A nurse at an urgent care clinic is assessing a client who reports impaired vision in one eye . Which indicates the client has a detached retina Floating dark spots 4. infant with hydrocephalus 6 hr post op following ventriculoperitoneal shunt placement . finding to report to provider Irritability when being held. signifies increased ICP 5. Assessing a newborn heart rate follow actions the nurse should take Auscultate the apical pulse and count beats for at least 1 min. 6. Caring for a client who has a fecal impaction actions to be taken when digitally evacuating the stool Insert a lubricated gloved finger and advance along the rectal wall. 7. Dietary teaching for a new prescription of phenelzine Broccoli, Yogurt, Cream Cheese