Which assessment should the practical nurse (PN) make to best evaluate a client's
fluid status? - Daily body weight
The practical nurse (PN) is changing
... [Show More] a postoperative dressing for a client with a
horizontal lower abdominal incision. What method should the PN use to remove
the tape from the dressing? - Remove all four sides by moving to the center of the
incision.
A male client ho is 2 days postoperative for exploratory abdominal surgery is
ambulating in the hall with the practical nurse (PN). The client tells the PN, "I
think something in my incision just let go." Which action should the PN implement
first? - Assist the client to a supine position.
An older client who is unable to swallow is receiving continuous NGT feeding.
Before administering medications through the NGT, what action should the
practical nurse implement? - Flush the feeding tube with water.
Which action should the practical nurse implement to help a male client cope with
his fear as he approaches death? - Hold the client's hand and tell him he is no
alone.
The practical nurse is giving oral care to an older female client with tender gums
that bleed easily because of a medication she is taking. What intervention should
the PN implement? - Obtain a soft-bristle brush for the client.
The practical nurse is caring for a client who is admitted with influenza and
vomiting for 3 days. The clients skin turbot is poor and oral mucous membranes
are dry. Which finding is most important for the PN to report to the charge nurse? -
Hypotension and tachycardia
Which food should the practical nurse recommend for a client to increase the
dietary intake of potassium? - Baked potatoes
When irrigating the external ear canals of an older adult client, which action should
the PN use to soften dry cerumen for removal? - Instill mineral oil in the external
auditory canal overnight before irrigation.An older female state the medication tablet brought in a cup looks different from
the tablet that she takes at home. Which action should the practical nurse take? -
Check the written prescription to verify the medication
Which action should the PN implement when administering a subcutaneous
injection to a client who weighs 325 pounds? - Select a needle with a longer shaft
Which intervention provides confirmation of NGT placement before NGT feedings
are started? - X-ray of the abdomen
An older male client who is incontinent receives a prescription for a condom
catheter. Which steps should the PN implement when applying the external
catheter. - Wrap the adhesive strip in a spiral around the penis
Apply skin prep to the penile shaft and allow to dry
Leave 1-2 inches between the tip of the penis and condom catheter
Acetaminophen is prescribed for an unconscious client with a temp of 104' F.
Which route should the PN plan to administer this medication? - Rectal
An older male client who is sedentary complains of not having a formed bowel
movement in four days and tells the PN that he feels rectal pressure and has a
constant headache. The PN determines the client is having frequent small, liquid
stools. Which nursing action should the PN take first? - Digitally assess for
impacted stool.
The PN is adding tap water to several medication for administration via feeding
tube. Which preparation should the PN administer without delay? - Time release
capsule
Which action should the PN follow when applying an elasticize bandage to a
client's leg? - Overlap turns of the bandage equally
The PN obtains an elevated blood pressure reading for an older male client is is
alert. When the PN offer the client his morning blood pressure medication, he
refuses to take it. What action should the PN take? - Explain the importance of
routine use of antihypertensives. [Show Less]