Physiological Integrity

A practical nurse is caring for a client with a T4 spinal cord injury who suddenly reports a severe, pounding headache and blurred vision. The nurse notes that the client's face is flushed and profusely sweating. In which order should the practical nurse prioritize the following actions? (Arrange from first action to last action)

Following the administration of intravenous furosemide to a client with heart failure, the practical nurse reviews the newly reported laboratory values. Which result indicates an urgent need to notify the registered nurse?

While providing care for a client with chronic angina, a practical nurse prepares to apply a new transdermal nitroglycerin patch. Place the following nursing actions in the correct chronological sequence.

A school-aged child weighing $44$ lb is receiving care in an outpatient clinic for a severe skin infection. The healthcare provider prescribes clindamycin $24$ mg/kg/day orally, to be divided into equal doses administered every $8$ hours. The clinic pharmacy dispenses clindamycin oral suspension at a concentration of $75$ mg/$5$ mL. How many mL should the practical nurse administer for a single dose? (Record answer to the nearest tenth. Do not include units in answer.)

During morning rounds, a practical nurse evaluates a client who underwent a partial nephrectomy 18 hours ago. The morning laboratory report indicates a hemoglobin level of 7.8 g/dL (78 g/L). Upon assessment, the client's heart rate is 106 bpm and blood pressure is 104/62 mm Hg. The admission baseline blood pressure was 138/82 mm Hg. Which action should the practical nurse take first?

Two hours following a large-volume paracentesis for the management of ascites, a client suddenly becomes increasingly restless. The assigned practical nurse obtains vital signs revealing a blood pressure of 92/54 mm Hg and an apical pulse of 118 beats per minute. Which of the following actions should the nurse prioritize? Select all that apply.

A practical nurse is providing basic care for an immobile client who is receiving continuous enteral tube feedings and requires frequent perineal care due to a *Clostridioides difficile* infection. Which of the following actions should the nurse take? (Select all that apply)

A practical nurse is caring for a client who has just returned to the unit after undergoing a percutaneous liver biopsy. Which of the following positions is most appropriate for the nurse to place the client in?

A practical nurse (PN) is monitoring a client who is three hours postoperative following a subtotal thyroidectomy. The client expresses feeling a tight sensation in the throat and is noted to be swallowing repeatedly. The client's heart rate has increased to 112 beats per minute, and blood pressure is 98/60 mm Hg. What is the priority action for the PN?

A practical nurse is assigned to care for a client who returned to the medical-surgical unit two hours ago following a percutaneous liver biopsy. During the current assessment, the nurse notes the client's blood pressure is 84/50 mm Hg and the heart rate is 122 beats per minute. Which action should the nurse take first?

While assessing a client recovering from a chronic obstructive pulmonary disease (COPD) exacerbation, the practical nurse notes a sudden change in the client's baseline behavior. The 78-year-old client, who has been treated with high-dose intravenous corticosteroids for the past three days, is now highly agitated, disoriented, and reports a burning sensation in the epigastric region. The vital signs show a heart rate of 115 bpm, a blood pressure of 102/56 mm Hg, and an oxygen saturation of 89% on room air. What is the priority intervention for the practical nurse in this scenario?

A practical nurse is monitoring a client who recently returned from the post-anesthesia care unit following abdominal surgery. Which of the following assessment findings should the nurse identify as early indicators of hypovolemic shock? (Select all that apply.)

An older adult client is recovering on a surgical unit two days after undergoing an abdominal procedure. The client, who was previously oriented and cooperative, now exhibits sudden restlessness and confusion about their current location. The latest vital signs reveal a heart rate of 114 beats/min and a blood pressure of 98/58 mm Hg. Which of the following is the priority action for the practical nurse?

A practical nurse is providing basic care for a client who is 3 days postoperative following a surgical evacuation of a subdural hematoma. The client has residual right-sided hemiplegia and severe dysphagia, requiring maximum assistance with activities of daily living. Which care interventions should the nurse implement? Select all that apply.

A practical nurse is providing care for a client who returned to the nursing unit one hour ago following a percutaneous liver biopsy. Which interventions should the nurse implement to promote comfort and ensure client safety? (Select all that apply)

A practical nurse is caring for an adult client with heart failure who is scheduled to receive a morning dose of oral digoxin. During the pre-administration assessment, the client's apical pulse is $54$ beats/min, and the client reports feeling nauseous and seeing yellow halos around the lights in the room. Which of the following actions should the practical nurse take first?

A practical nurse is caring for an adult client who was recently diagnosed with a respiratory tract infection. The healthcare provider prescribes oral azithromycin $0.5\text{ g}$ to be administered once daily. The pharmacy dispenses a reconstituted oral suspension labeled $250\text{ mg}/5\text{ mL}$. How many milliliters ($\text{mL}$) should the nurse administer to the client for each dose?

A practical nurse (PN) is preparing to administer a prescribed dose of cefdinir oral suspension to a pediatric client with acute otitis media. The client's weight is 27 pounds 8 ounces. The provider's prescription reads: cefdinir 14 mg/kg/day by mouth, divided in equal doses every 12 hours. The pharmacy supplies a bottle of cefdinir powder for oral suspension. The reconstitution instructions on the label state: "Add 38 mL of sterile water to the bottle to yield a final concentration of 125 mg/5 mL." How many milliliters (mL) should the PN administer for a single dose? (Record answer to the nearest tenth. Do not include units in answer.)

A practical nurse (PN) is assigned to care for a $74$-year-old client who is prescribed daily oral lithium carbonate for the management of bipolar disorder. The client's morning laboratory panel reveals a serum lithium level of $1.9$ mEq/L and a serum sodium level of $130$ mEq/L. During data collection, the PN notes that the client is exhibiting a coarse hand tremor, ataxia, and new-onset acute confusion. Which of the following is the priority action for the PN?

A practical nurse is preparing to collect a urine specimen for culture and sensitivity from a client who has an indwelling urinary catheter. Arrange the following steps for this procedure in the correct chronological sequence.