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A primigravida client confides in the practical nurse (PN) that her sister told her that she should eliminate all salt once she is at 26-weeks' gestation because it will eliminate fluid retention and swelling. How should the PN respond?
Salt foods lightly during cooking, but add no additional salt at the table
When applying a pulse oximeter, which action should the practical nurse take first?
Observe for nail polish
Which instruction should the practical nurse (PN) provide the unlicensed assistive personnel (UAP) assisting with the care of a client following a lumbar puncture?
"Be sure to keep the client supplied with plenty of fluids."
The practical nurse (PN) is caring for a client newly diagnosed with diabetes melius (DM). Which finding is an early sign of hypoglycemia?
What should you know about a Hemovac question 4 hours post op (TKR) total knee replacement
Hemovac question 4 hours post op (TKR) total knee replacement
A client in the psychiatric unit's dayroom is becoming agitated, talking incessantly, and starting to yell and swear at the other clients. Which action should the practical nurse (PN) implement first?
Escort the client to a calm and quiet place
The practical nurse (PN) is providing care for a client who is receiving an intravenous antibiotic to treat an infection. Which assessment findings require the most immediate action by the PN?
Hives with pruritus.
A male client with a chronic, medical condition tells the practical nurse (PN) that he wants no heroics to prolong his life if anything should happen to him. Which action should the PN take?
Notify the client's healthcare provider of the client's wishes as soon as possible
Administer a prescribed PRN dose of analgesic.
A client with somatic symptom disorder reports experiencing chest pain to the practical nurse (PN). WM) should the PN take?
Remind the client that the symptoms are psychological in cause
Based on the computer documentation in the electronic medical record (EMR), which action should the practical nurse (PN) implement?
Give the rubella vaccine subcutaneously.
A client who has a gangrenous left lower extremity (LLE) is to begin wound care that includes the prescription for cleansing with sterile water and povidone-iodine scrub. What should the practical nurse (P) consider first before implementing this procedure?
Client's allergies.
Checks the medical record for the correct signed consent form prior to the examination,
A client with paranoia is admitted to the mental health unit and immediately goes to the corner of the room and sits quietly without communicating. In approaching the client, what intervention should the practical nurse (PN) implement first?
Describe functions of the PN
The practical nurse (PN) is feeding a 2-month-old male infant with heart failure due to a ventricular septal defect (VSD). Which intervention should the PN implement?
Allow infant to rest before feeding.
The practical nurse (PN) is assisting in the development of a plan of care for an older client who lives alone and is undernourished related to social isolation. Should the PN identify which expected outcome statement is most relevant to this client's plan of care?
Receives a well-balanced diet from Meals-on-Wheels.
The practical nurse (PN) notices that a client's urine is pale yellow, with a cloudy appearance, and has a foul odor. Which assessment should the PN complete next?
The practical nurse (PN) is removing the personal protective equipment (PPE) worn when caring for a client. Which PPE should be removed first?
The practical nurse (PN) is providing instructions to the unlicensed assistive personnel (UAP) preparing to give a total bed bath to an immobile client who has a continuous feeding via gastrostomy tube (GT). Which instruction is most important for the PN to emphasize?
Keep the head of the bed raised while the tube feeding is infusing
A client at 39-weeks' gestation is admitted in early labor. During the focused assessment, the practical nurse (PN) reviews the obstetrical history with the client who states that she has been pregnant 5 times but has only 2 living children, both of whom were full-term. The other three pregnancies were miscarriages during the first trimester. Which parity should the PN document be for term, premature, abortion, and living children (PAL) for this client?
Term 3, Premature 0, Abortion 3, Living 2
An adult with a history of cardiovascular disease comes to the clinic complaining of indigestion. Vital signs are heart rate 130 beats/minute, respirations 24 breaths/minute, and blood pressure 180/90. Which finding should the practical nurse (P) report immediately to the healthcare provider?
Left jaw discomfort.
A client whose first child was delivered by cesarean section is 20 weeks pregnant with her second child and wishes to have a vaginal birth after cesarean (VBAC). What information is most important for the practical nurse (PN) to obtain?
The type of uterine incision used for previous birth
The practical nurse (PN) accompanies a healthcare provider when the client receives the diagnosis of stage 5 metastatic cancer. The client's wife immediately responds, "You must have made a mistake. We want to get a second opinion." The PN should consider which stage of the grieving process to respond best to the wife's comments?
Denial.
The practical nurse (P) is assisting the recreational director of a long-term care facility in planning outdoor activities for the wheelchair-bound older residents who are mentally alert. Which activity should the PN suggest that meets the physical and social needs of these residents?
A tea party in the courtyard.