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A client who has vomiting, dysuria, and urinary tract infection (UTI) arrives
in the clinic and receives an IV antiemetic and a liter of IV fluids. The
healthcare provider prescribes oral antibiotics for the client's discharge.
Which finding is essential for the practical nurse to determine before the
client is discharged? ---------CORRECT ANSWER-----------------No vomiting
with oral fluid intake.
What information should the practical nurse reinforce while reviewing
discharge instructions with a client who has a joint dislocation? ---------
CORRECT ANSWER-----------------Prescribed exercises should be
performed daily.
While completing preoperative preparation for a client admitted for same-
day surgery, what evaluation statement should the practical nurse identify
as an important outcome? ---------CORRECT ANSWER-----------------Asks
questions regarding the surgical experience
A client with chronic obstructive pulmonary disease (COPD) is receiving
oxygen at 2 L/minute. During the bed bath, the client complains of
shortness of breath. Which action should the practical nurse (PN)
implement? ---------CORRECT ANSWER-----------------Assist the client into a
Fowler's position.
,A client who is 3 days postoperative after a laminectomy is coughing up
thick green sputum and wheezing. What action is most important for the
practical nurse (PN) to implement? ---------CORRECT ANSWER---------------
--Report the change in condition to the healthcare provider.
What complication is most important for the practical nurse to monitor for in
a client who has a total hip replacement? ---------CORRECT ANSWER-------
----------Infection
The practical nurse (PN) is reviewing laboratory results for a client admitted
with possible meningitis and identifies that the cerebrospinal fluid (CSF)
findings are positive for bacteria. Which action is most important for the PN
implement? ---------CORRECT ANSWER-----------------Implement droplet
precautions
A 60-year-old client with benign prostatic hyperplasia (BPH) has been up to
the bathroom six times during the night. The client asked the practical
nurse (PN) if there is something the healthcare provider can do to help him
with this problem before he has a transurethral resection of the prostate
(TURP). What information should the PN offer? ---------CORRECT
ANSWER-----------------An indwelling catheter is sometimes prescribed to
alleviate symptoms.
An adult male who is covered with "road rash" after falling off his bicycle
arrives at the clinic. He holds his hand to his chest and tells the practical
nurse (PN) that he hurts when he breathes. The PN hears an audible
"slurping" sound each time the client takes a breath. Which intervention
should the PN implement first? ---------CORRECT ANSWER-----------------
Apply oxygen and inspect the chest wall.
, Which action should the practical nurse (PN) implement to reduce the risk
of infection for a client who is receiving total parenteral nutrition (TPN)? -----
----CORRECT ANSWER-----------------Change the transparent dressing
every 72 hours.
The practical nurse (PN) should place a client in which position for a
thoracentesis? ---------CORRECT ANSWER-----------------Sitting upright in a
tripod position leaning on an overbed table.
Which intervention is most important for the practical nurse to implement
after giving a client an initial injection for the screening for allergies? ---------
CORRECT ANSWER-----------------Have the client remain on-site for 30
minutes after the injections.
The practical nurse (PN) is reviewing the plan of care for a client scheduled
for a surgical amputation of the left lower leg. Which nursing diagnosis
should the PN use as the highest priority for this client after the surgery? ---
------CORRECT ANSWER-----------------Disturbed body image.
A practical nurse (PN) is coordinating the care of four clients on an
oncology unit. Which neutrophil count should the PN identify as a risk for a
life-threatening infection in one of the clients? ---------CORRECT ANSWER-
----------------500/mm3.
An adult client with otitis media has thick, yellow drainage from the right ear
canal. What additional findings should the practical nurse (PN) expect to
identify? ---------CORRECT ANSWER-----------------Pain relief after ear
drainage begins.