Tüm alıştırma soruları

A practical nurse (PN) is coordinating care with an assistive personnel (AP) for clients recovering from orthopedic surgeries on a rehabilitation unit. Which of the following task assignments indicate that the PN is delegating appropriately? Select all that apply.

A practical nurse is providing home health care for a client with severe dysphagia. The client's spouse, who is the designated healthcare proxy, is preparing to sign a consent form for a percutaneous endoscopic gastrostomy tube placement. Right before signing, the spouse pauses and asks the nurse, "What are the exact chances of a site infection, and are there any other feeding methods we should try first?" Which action should the nurse take next?

A practical nurse is preparing to administer clindamycin to a pediatric client who weighs $24.2\text{ lb}$. The healthcare provider prescribes clindamycin $15\text{ mg/kg/day}$ intramuscularly (IM) divided into equal doses every $8\text{ hours}$. The medication is supplied in a vial labeled $300\text{ mg}/2\text{ mL}$. How many mL will the practical nurse administer per dose? (Record the answer to the nearest tenth. Do not include units in your answer.)

A practical nurse is preparing to assist a client from a seated position on the edge of the bed to a standing position using a gait belt. Place the following nursing actions in the correct sequence to ensure safety and proper ergonomics. (Arrange the steps from first to last.)

While documenting care on a computer on wheels in the hallway, a practical nurse is approached by a physician who asks to quickly check the morning laboratory results for a different client. The physician explains that their tablet has lost power and they need the results immediately to adjust a medication dosage. Which action should the nurse take?

A licensed practical nurse (LPN) is caring for an older adult client who is recovering from a major abdominal surgery. Which of the following actions by the nurse demonstrate an appropriate application of risk reduction principles? Select all that apply.

A practical nurse (PN) is caring for a client with a central venous catheter (CVC). Upon entering the room, the PN discovers that the intravenous tubing has accidentally disconnected from the CVC hub. The client is suddenly dyspneic, coughing, and appears cyanotic. Suspecting a central line air embolism, in what order should the PN implement the following actions? Arrange the steps from first to last.

A client in the preoperative holding area of an ambulatory care center is scheduled for an elective lithotripsy. After the surgeon has explained the procedure and left the area, the client tells the practical nurse (PN), "I changed my mind. I am too scared and do not want to go through with this surgery." In what order should the PN perform the following actions? (Arrange from first action to last action)

A resident in a long-term care facility is receiving treatment for a urinary tract infection. During the evening shift, the resident becomes highly agitated, paces the hallways, and repeatedly attempts to open the secured exit doors. Which actions should the practical nurse implement to ensure the resident's safety? Select all that apply.

An older adult resident residing in an extended care facility is receiving intravenous antibiotic therapy for a severe soft tissue infection. The nursing assistant informs the practical nurse that the resident, who is usually alert and cooperative, is suddenly thrashing in bed and speaking incoherently. Upon evaluation, the nurse observes pale, diaphoretic skin with a heart rate of 118 beats per minute and a blood pressure of 92/54 mm Hg (baseline 136/80 mm Hg). Which intervention should the practical nurse implement immediately?

A client who is recovering from abdominal surgery is preparing to move from the bed to a bedside chair for the first time. In what sequence should the nurse perform the following actions to ensure a safe transfer? Arrange the steps in the correct chronological order.

Following a percutaneous liver biopsy, a client's electronic health record displays the following vital sign progression:

The client currently appears pale and states, "I feel a little dizzy when I turn my head." Which immediate action should the practical nurse take?

An adult client is restricted to bed rest due to an acute deep venous thrombosis (DVT) in the right calf. The client reports dull, aching leg pain and requests a bed bath. When providing hygiene and comfort measures, which action by the practical nurse is the priority?

An older adult client with type 2 diabetes mellitus is scheduled to undergo a computed tomography (CT) scan of the abdomen with intravenous contrast in two hours. The practical nurse is reviewing the client's morning laboratory results, which reveal a serum creatinine level of $2.2\ \text{mg/dL}$ ($194\ \mu\text{mol/L}$) and a blood urea nitrogen (BUN) of $35\ \text{mg/dL}$ ($12.5\ \text{mmol/L}$). What is the priority action for the practical nurse?

A practical nurse receives report on an older adult client who has developed profuse, watery diarrhea and recently tested positive for a Clostridioides difficile infection. What specific infection control measures must the nurse implement during this client's care? Select all that apply.

A practical nurse (PN) is collecting data on a client who is 24 hours postoperative following an abdominal hysterectomy. The client reports an incisional pain level of 8 on a 0 to 10 scale and requests their prescribed as-needed (PRN) oral hydrocodone-acetaminophen. The PN notes the client is restless with pale, cool skin. The client's vital signs are: blood pressure 92/54 mm Hg, apical pulse 118 beats/minute, and respirations 22 breaths/minute. Which of the following actions should the PN take first?

A practical nurse is receiving a client who has just returned to the medical-surgical unit following a percutaneous liver biopsy. Which position should the nurse assist the client into immediately after the procedure?

A nursing team consisting of a Registered Nurse (RN), a Practical Nurse (PN), and an Assistive Personnel (AP) is receiving client assignments on a medical-surgical unit. Match each client care activity to the most appropriate team member and rationale based on their legal scope of practice.

A pediatric client arrives at the primary care clinic for a scheduled measles, mumps, and rubella (MMR) vaccine. During the initial data collection, the guardian reports that the child has been taking a prescribed high-dose oral corticosteroid for the past two weeks to treat a severe asthma exacerbation. Which action is the priority for the practical nurse?

A practical nurse (PN) on a progressive care unit is preparing a client for a scheduled cardiac catheterization. The informed consent form is already signed and placed in the medical record. While assisting the client into a hospital gown, the client states, 'I am so nervous about them putting that tube down my throat to look at my heart again.' Which action should the PN take?