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Following the dressing change of an abdominal surgical wound, a client expresses concern
to the practical nurse (p) about the scar that might result from the wound. Which response
is best for the pn to provide?
A."you can always wear clothing to cover the scar."
B." know you are frightened about how you will appear later."
C. "tell me more about your concerns regarding an abdominal scar."
D." have heard that rubbing coco butter on the scar helps it fade away
Answer :c
For the past six hours, a postoperative client has refused pain medication because the client
wanted to "tough it out." when an opioid analgesic is administered the client has difficulty
obtaining a satisfactory level of comfort. Which action is best for the practical nurse (p) to
use in assisting this client to deal with the pain?
A.turn the television on to the client's favorite show.
B.obtain a prescription for a higher dose of pain medication.
,c.guide the client through slow, rhythmic breathing.
D.dim the lights in the room and close the door.
Answer : c
The practical nurse (p) is caring for a 17-year-old client who fell 20 feet while climbing the
side of a cliff and has been in a sustained vegetative state for 5 months since the accident.
Which intervention should the pn implement?
A.inquire about food allergies and food likes and dislikes.
B monitor vital signs and neurological status every 2 hours.
C talk directly to the adolescent while providing care.
D initiate open communication with the teens parents.
Answer : c
The practical nurse (p) is assisting with the development of a plan of care for an older
adult client who reports blurred vision and who is newly diagnosed with type 2 diabetes
(dm). Which outcome should the pn include in the plan of care?
Reference ranges:
Glycosylated hemoglobin (a1c) [4% to 5.9%]
,fasting blood glucose [74 to 106 mg/dl (4.1 to 5.9 mmol/l)]
A .the client's fasting glucose reading will be greater than 140 mg/dl (8 mmol/l) every day.
B. The client will express acceptance of their newly diagnosed health status.
C. The client's hemoglobin alc will be less than 7.0 % in 3 months.
D. The pn will reinforce with the client on how to perform stress management techniques.
Answer : c
At 39 weeks gestation is admitted in early labor. During the focused assessment, the
practical nurse (pn) reviews the obstetrical history with the client o reports that she has
been pregnant five times but has only two living children, both of
Whom were full term. The other three pregnancies were miscarriages ing the first
trimester. Which parity should the pn document for term, premature, abortion, and living
children (tpal) for this client?
A.term 2, premature 1, abortion 0,living 3.
B.term 3, premature 0, abortion 3,living 2.
C.term 2, premature 3, abortion 3,living 2
D. Term 6, premature 3, abortion 3,living 2.
Answer: b
, The home health practical nurse (p) visits a young male client with aids who has kaposi's
sarcoma and peripheral neuropathies. His parents, who provide care for the client, state
that their son sleeps most of the time. The pn observes the client is semi-conscious with
stable vital signs and cries out in pain when turned or moved. A fentanyl patch is in place
and skin lesions are closed and dried. Which intervention should the pn implement?
A. Call for ambulance transportation to the hospital immediately.
B. Give a complete bed bath to further assess the client.
C.discuss end-of-life decisions with the client's parents.
D.remove the fentanyl patch as directed by prescription.
Answer: c
Twenty four hours after receiving a telephone prescription for a client's
Medication, the practical nurse (p) observes that the prescription has not been
Signed by the prescriber, which conflicts with agency policy. Which action should the pn
take?
A.hold the next dose of medication and assess the client.
B.continue to administer the medication as initially prescribed.
C.contact the prescriber for a renewal of the prescription.
D.discontinue the medication immediately.