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Mr. Walter, 71 years old, has a diagnosis of Parkinson disease. He is taking
carbidopa/levodopa (Sinemet). He relies on his wife for some of his personal care.
They live alone in their home and have a daughter in the same community. Mr.
Walter is competent.
Mr. Walter is looking to the practical nurse for more information on Medical
Assistance in Dying (MAid). What should the practical nurse do first?
A. Ask the social worker to visit Mr. Walters
B. Provide printed material to Mr. Walters
C. Refer Mr Walters' question to the family physician
D. Advice Mr. Walters to focus on his quality of life with his family ---------
CORRECT ANSWER-----------------B. Provide printed material to Mr. Walter
Clients have a right to make informed decisions based on current available
information.
A 32-year old client has been admitted to hospital for a cholecystectomy.
Which of the following indicates that the client is an active participant in their
care?
,A. The client reads the care plan throughly
B. The client follows the plan of care
C. The client asks questions about their care
D. The client follows the directions of their family ---------CORRECT ANSWER---------
--------C. The client asks questions about their care
Asking questions demonstrates participation in the care plan.
A 32-year old client has been admitted to hospital for a cholecystectomy.
The client was provided with preoperative teaching on deep breathing and
coughing. How should the practical nurse evaluate the teaching
A. Have the client explain deep breathing and coughing
B. Have the client identify barriers to performing these exercise
C. Ask the client to demonstrate deep breathing and coughing
D. Demonstrate deep breathing and coughing to the client ---------CORRECT
ANSWER-----------------C. Ask the client to demonstrate deep breathing and
coughing
Client action demonstrates learning. This provides an opportunity for the
practical nurse to evaluate client learning.
A 32-year old client has been admitted to hospital for a cholecystectomy.
,Why is it important for the practical nurse to use aseptic technique when
changing a postoperative dressing?
A. It allows the practical nurse to maintain a sterile field
B. It helps to decrease pain at the surgical site
C. It reduces the risk of wound infection
D. It promotes the repair of abdominal tissues ---------CORRECT ANSWER-------------
----C. It reduces the risk of wound contamination
The primary objective of aseptic technique is to prevent microorganisms from
being introduced to the surgical wound, therefore reducing the risk of
contamination.
Mr. Bell, 76 years old, has been on the unit for the past 3 weeks with liver failure.
His treatment includes IV therapy of normal saline infusing at 100 mL per hour.
Mr. Bell's family has arranged for a meeting with the transplant coordinator. Mr.
Bell does not agree with this consultation. What should the practical nurse do
first?
A. Arrange for a meeting between the client, his family and social worker
B. Explore Mr. Bell's understanding of the transplant process
C. Reinforce Mr. Bell's disinterest in meeting with the transplant coordinator
D. Respect the right to refuse and accept the client's division ---------CORRECT
ANSWER-----------------B. Explore Mr. Bell's understanding of the transplant process
, This would help the client to make informed decision
Mr. Bell, 76 years old, has been on the unit for the past 3 weeks with liver failure.
His treatment includes IV therapy of normal saline infusing at 100 mL per hour.
Since the initial assessment and his admission to the unit, Mr. Bell's abdominal
girth has increased by 14 cm. What order should the practical nurse anticipate
first?
A. Decrease his IV therapy to keep the vein open
B. Apply oxygen at 2 L per minute via nasal cannula
C. Apply anti embolism stocking to his legs
D. Decrease his caloric intake to 1,400 calories daily ---------CORRECT ANSWER------
-----------A. Decrease his IV therapy to keep veins open
Fluid accumulation can be increased by IV therapy
Mr. Bell, 76 years old, has been on the unit for the past 3 weeks with liver failure.
His treatment includes IV therapy of normal saline infusing at 100 mL per hour.
What manifestation associated with liver failure should the practical nurse report
first?