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, Three days after surgery, a male client suddenly grabs his right chest and becomes
short of breath, pale, and diaphoretic. The practical nurse (PN) immediately assesses
his vital signs and obtains 100/80 mm Hg blood pressure, 110 beats/min heart rate, and
36 breaths/min respiratory rate. What action is most important for the PN to take next? -
ANSWER Apply oxygen at 2 liters per nasal cannula.
An elderly female client with dementia is transferred from a long-term care unit to an
acute care unit. The client's children express concern that their mother's confusion is
worsening. How should the practical nurse (PN) respond? -ANSWER Confusion in an
older person often follows relocation to new surroundings."
A client with chronic obstructive pulmonary disease complains of extreme fatigue after
coughing. Which self-care measures should the practical nurse (PN) suggest to
minimize dyspnea? (Select all that apply.) -ANSWER 1.Assume a sitting position with
shoulders relaxed and knees flexed.
2.Support forearms with a pillow and place both feet flat on the floor.
3.Slightly drop the head, bend forward, and slowly exhale with pursed lips.
4.Resume sitting up straight, using diaphragmatic breathing to inhale slowly and deeply
A practical nurse (PN) is monitoring a client with diabetes. The nurse recognizes which
of the following symptoms as possible signs of diabetic ketoacidosis (DKA)? (Select all
that apply.) -ANSWER Fruity breath odor
Rapid, weak pulse
Extreme thirst
Urinary frequency
The practical nurse (PN) recognizes which of the following characteristics considered
high-risk factors for developing type 2 diabetes? (Select all that apply.) -ANSWER Age
40 years or older
African American
Obesity
Hispanic
The women's health nurse practitioner and the clinic practical nurse (PN) are developing
a plan of care for a 56-year-old female client who has been diagnosed with osteopenia.
The plan is focused on preventing further bone resorption and increasing bone mass.
Which outcome statement should be included in the plan of care? -ANSWER The client
will decrease the number of cigarettes smoked by 50% within 2 weeks.