Tüm alıştırma soruları

An adult client who is a practicing Sikh is admitted to the medical-surgical unit for dehydration. Upon receiving the afternoon meal tray containing chicken broth, a turkey sandwich, and gelatin, the client pushes the tray away and states, 'I cannot eat any of this food due to my religious beliefs.' What is the most appropriate response by the practical nurse?

A practical nurse is providing discharge instructions to a client who is adopting a heart-healthy lifestyle following a recent mild myocardial infarction. The client, who has followed a strict vegan diet for ethical reasons for several years, asks how to maintain adequate protein intake for recovery without consuming animal products. Which of the following is the most appropriate response or action by the nurse?

A client is recovering on a medical-surgical unit three days after an emergency appendectomy. The client's spouse approaches the practical nurse (PN) and privately reveals that the client has been taking high doses of unprescribed alprazolam daily for the past year, but has not had any since the morning of the surgery. Which of the following actions should the PN take? Select all that apply.

While reviewing a client's health record prior to medication administration, a practical nurse (PN) observes a newly written prescription for oral cephalexin. The client's admission history indicates a severe anaphylactic reaction to amoxicillin. What is the safest course of action for the PN?

A practical nurse is caring for a client admitted with an acute asthma exacerbation. The client is receiving continuous oxygen therapy and is scheduled for a nebulized albuterol treatment. Upon assessment, the client's vital signs are: blood pressure $142/88\text{ mmHg}$, heart rate $116\text{ beats/min}$, respiratory rate $26\text{ breaths/min}$, and oxygen saturation $90\%$ on $2\text{ L/min}$ via nasal cannula. The client reports feeling anxious with a "racing heart," and the nurse observes fine bilateral hand tremors. Which action should the practical nurse take?

Family members bring their 78-year-old parent to an ambulatory care clinic. The client, who typically functions independently and has no history of cognitive deficits, has experienced a sudden onset of visual hallucinations, severe agitation, and urinary incontinence since waking up. The family is highly distressed, stating their belief that this is a rapid onset of age-related dementia. Which action should the practical nurse take first?

An 81-year-old client is receiving a continuous intravenous heparin infusion for a recent pulmonary embolism. During morning care, the client becomes restless, repeatedly asks where they are, and reports a new, dull ache in the lower back and flank. Current vital signs are blood pressure 104/64 mmHg (baseline 142/82 mmHg), heart rate 116 beats/minute, and respiratory rate 22 breaths/minute. Which action should the practical nurse (PN) take FIRST?

A practical nurse (PN) is reviewing the morning laboratory results for a client who was admitted 48 hours ago with a left deep vein thrombosis (DVT). The client has a prescription for a scheduled dose of subcutaneous heparin.

During the morning data collection, the client reports new, sudden swelling and severe tenderness in the right leg. Based on these findings, which action is the priority for the PN?

A practical nurse is caring for a client admitted with a gastrointestinal bleed. The client is restless, and their skin is slightly cool to the touch. The client's resting heart rate is 106 beats per minute, and their blood pressure is 108/72 mm Hg. Which of the following is the most appropriate action for the practical nurse to take?

During a scheduled health maintenance visit at a pediatric practice, a practical nurse observes a 9-month-old infant interacting with their caregiver. Which of the following observed behaviors should the nurse document as expected developmental milestones for this specific age? Select all that apply.

During rounds, a practical nurse evaluates the comfort of a client who underwent a thyroidectomy earlier in the shift. Which position should the nurse ensure the client maintains to reduce swelling and support the incision?

A practical nurse (PN) is assisting a registered nurse (RN) in caring for a client at 34 weeks gestation who presents to the emergency obstetrical triage. The client reports sudden, excruciating abdominal pain. The PN observes that the client's abdomen is rigid and board-like to the touch, and there is no visible vaginal bleeding. The client's vital signs are: heart rate 118 beats/minute, respiratory rate 24 breaths/minute, and blood pressure 104/62 mmHg. While the RN obtains emergency intravenous access, which action is the priority for the PN?

While conducting a postoperative assessment, a practical nurse evaluates a client who returned to the surgical unit four hours ago following a vaginal hysterectomy. The client reports feeling unusually thirsty and mildly dizzy. The nurse notes moderate bright red drainage on the perineal pad. The client's current vital signs show a blood pressure of 106/74 mm Hg (baseline 132/84 mm Hg) and a heart rate of 98 beats/minute. Which of the following is the priority action for the practical nurse?

An older adult client visits a community health clinic for a routine wellness check. The client's spouse passed away 18 months ago. During the intake assessment, which of the following statements by the client indicate to the licensed practical nurse (LPN) that the client is experiencing manifestations of complicated grief and requires reporting to the registered nurse (RN)? Select all that apply.

A practical nurse (PN) is monitoring a client in a short-term rehabilitation unit who is recovering from a fractured pelvis. The client's relative recently disclosed that the client drinks a large amount of whiskey every evening, a fact the client explicitly denied during the initial assessment. It is now the third day of the client's stay. The PN enters the room and finds the client completely drenched in sweat, trembling violently, and frantically trying to swat away "bats" from the ceiling. Which action should the PN take first?

An older adult client is receiving care in a skilled nursing facility three days after undergoing a right above-the-knee amputation. While organizing the client's daily basic care routine, which action is the most appropriate for the practical nurse to implement?

A practical nurse (PN) is admitting a client who practices the Islamic faith and is scheduled for an elective surgical procedure. The healthcare provider has just discussed the procedure with the client and left the consent form to be signed. Which of the following nursing actions best support the client's spiritual beliefs, cultural needs, and safe care? (Select all that apply.)

A practical nurse (PN) at a community health center is assisting with a client who is starting a comprehensive lifestyle modification program. Arrange the PN's actions in the most appropriate chronological order from first to last.

A client in an outpatient clinic is informed by the healthcare provider that their declining vision requires them to surrender their driver's license. After the provider exits the room, the client slams a magazine onto the table and yells at the nurse, "You kept me waiting in the lobby for an hour! The staff here is completely incompetent!" Which response by the nurse is the most therapeutic?

A practical nurse (PN) is preparing to administer a prescribed transdermal nitroglycerin patch to a client. In what order should the PN perform the following steps? (Arrange the steps in the correct sequence, from first to last.)