COMPARISON GRID FACT QUESTIONS
AND ANSWERS GRADED A+
◉ A client who is 8 hours postoperative begins using the incentive
spirometer with 750 ml inspiratory volume and coughs up a large
thick light yellow white mucous plug. What action should the
practical nurse take Answer: document the findings
◉ Which client needs immediate action by the practical nurse
Answer: An older client who is climbing over the side rails.
◉ A client is receiving supplemental oxygen. The practical nurse
walks in the room and sees a fire in the bedside wastebasket. Which
action should the PN take first? Answer: take client out of the room
◉ The wife of an older, overweight man tells the PN that her
husband snores and frequently wakes up jerking or gasping. What
action should the PN take? Answer: discuss the possibility of a sleep
study for sleep apnoea
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, ◉ The practical nurse is working with a newly employed PN who is
having difficulty preparing the infusion pump for the administration
of an IV medication per secondary infusion. What action should the
PN implement? Answer: demonstrate the use of the IV pump.
◉ A client who is postoperative is receiving an infusion at 80
mL/hour. At the end of 8 postoperative hours, the PN documents
that the client tolerated 100 mL oral intake of ice chips and urinary
output is 1100 mL. What action should the PN take Answer:
document the intake and output findings.
◉ The practical nurse is assessing a client and obtains a pulse rate of
120 beats/minute, respiration of 28 breaths/minutes and a blood
pressure of 80/60. What action should the PN take first? Answer:
position the client flat in the bed.
◉ Which action should the practical nurse take for a client whose
serum sodium level is 159 mEq/L Answer: encourage fluid intake of
2500 mL. daily.
◉ Which factors influence how the practical nurse obtains vital signs
on a client. Select all that apply. Answer:
-history of right radical mastectomy two years ago
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