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The practical nurse (PN) is preparing to apply prescribed bilateral soft wrist restraints to a client who is severely agitated and repeatedly attempting to remove a central venous catheter. All alternative, less restrictive interventions have been unsuccessful. Arrange the following actions in the chronological order the PN should perform them. All options must be used.
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Practical nurses must navigate complex requests for client health information while maintaining strict confidentiality. Match each request for a client's protected health information (PHI) with the legally and ethically appropriate nursing action.
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After safely evacuating clients and sounding the alarm for a small wastebasket fire, a licensed practical nurse prepares to use a portable fire extinguisher. What is the chronological sequence of actions the nurse must take to operate the fire extinguisher correctly?
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While working in an infectious disease unit, a licensed practical nurse must apply full personal protective equipment (PPE) before entering the isolation room of a client suspected of having avian influenza (H5N1). Arrange the following actions in the correct chronological order for applying the required PPE, from first to last.
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A practical nurse (PN) is providing care on a respiratory medical unit alongside a registered nurse (RN) and an assistive personnel (AP). Which action planned by the PN demonstrates an appropriate understanding of the legal scope of practice and safe delegation?
A practical nurse (PN) enters the room of a post-operative client who is receiving pain management via a patient-controlled analgesia (PCA) pump. The PN finds the client unresponsive with a respiratory rate of 6 breaths per minute. Arrange the following nursing actions in the correct order of priority from first to last.
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A practical nurse (PN) is walking through a clinic corridor when a glass container falls from a supply cart and shatters, releasing an unidentified liquid with a strong, noxious odor. Which of the following is the priority initial action for the nurse?
A client is hospitalized for treatment of a severe urinary tract infection. The client, who has no history of cognitive impairment, suddenly becomes disoriented, restless, and repeatedly tries to pull out their peripheral intravenous line. The family insists that the nurse immediately secure the client's arms to the bed frame. Which action should the practical nurse take first?
A practical nurse is assisting with the care of a client who is 12 hours postpartum following a spontaneous vaginal birth, along with her term newborn. Which of the following actions by the practical nurse are appropriate? Select all that apply.
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A nurse in a transitional care unit is assisting a 75-year-old client out of bed for the first time in the morning. Due to normal age-related cardiovascular changes, this client is at increased risk for orthostatic hypotension. Place the following nursing actions in the correct sequence to safely mobilize the client.
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While organizing the utility room, a practical nurse (PN) accidentally drops a gallon container of industrial-strength chemical disinfectant, resulting in a large spill. Which of the following actions should the PN take? Select all that apply.
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While providing care on a busy acute care unit, a practical nurse (PN) manages a semi-private room occupied by two clients. Client 1 is a recognizable public figure, and Client 2 is receiving end-of-life care. Both clients have multiple family members visiting. Which actions by the PN demonstrate appropriate adherence to information security and client confidentiality regulations? Select all that apply.
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An 82-year-old client is admitted to the medical-surgical unit for treatment of bacterial pneumonia and is receiving continuous intravenous (IV) antibiotics. During the night shift, the client suddenly begins picking at the air, speaking incoherently, and forcefully grasping the IV tubing. The client has no history of cognitive impairment. A review of the client's admission orders reveals a prescription written 12 hours ago: "Apply soft bilateral wrist restraints PRN (as needed) for agitation or line interference." Which sequence of actions demonstrates the most appropriate clinical judgment by the practical nurse (PN)?
An older adult client receiving continuous enteral feedings via a nasogastric (NG) tube suddenly becomes restless and repeatedly attempts to remove the tubing. Which actions should the practical nurse (PN) implement to maintain client safety? Select all that apply.
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A practical nurse (PN) is working a shift at an outpatient community clinic and encounters multiple situations requiring clinical judgment. Which of the following actions by the PN demonstrate adherence to legal and ethical practice standards? Select all that apply.
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A practical nurse (PN) is assigned to care for a client admitted with suspected active pulmonary tuberculosis and an infected surgical wound with cultured Methicillin-resistant Staphylococcus aureus (MRSA). Which actions should the PN include in the client's plan of care? Select all that apply.
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A client in a behavioral health unit is undergoing detoxification from chronic methamphetamine use. The client abruptly exhibits severe psychomotor agitation, begins forcefully throwing magazines across the dayroom, and shouts aggressively at peers. Which action is the priority for the practical nurse (PN)?
A practical nurse (PN) is planning to delegate feeding a client who had a cerebrovascular accident (CVA) 3 days ago and has residual right-sided weakness. Arrange the following actions in the chronological sequence the PN should perform to ensure safe delegation and collaboration.
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A practical nurse (PN) receives the morning shift report and is assigned to care for a newly admitted client experiencing acute respiratory failure who requires continuous mechanical ventilation and frequent complex assessments. The PN determines that this client's care requirements exceed the PN scope of practice. Place the following actions the PN should take to address this unsafe assignment in the correct order of escalation.
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An alert and oriented resident in a long-term care facility is scheduled for an elective joint replacement. The facility's registered nurse (RN) hands the practical nurse (PN) a surgical consent form faxed by the surgeon and delegates the PN to obtain the resident's signature. Upon reviewing the document, the resident asks the PN, "It mentions a possible bone graft. Where exactly will they take the bone from?" Which of the following actions is required by the PN?