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2933 soru
A practical nurse accidentally drops a glass medication ampule on the floor, causing it to shatter. To prevent injury and manage the hazard safely, arrange the following actions in the correct chronological sequence.
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A licensed practical/vocational nurse (LPN/VN) is working in an outpatient oncology clinic alongside a registered nurse (RN) and assistive personnel (AP). Which action by the LPN/VN demonstrates an appropriate understanding of care assignments and scope of practice?
A practical nurse is caring for a client admitted with a suspected seasonal influenza infection. Which infection control interventions should the nurse implement? Select all that apply.
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While working in a perioperative unit, a practical nurse (PN) prepares a client for an urgent laparoscopic appendectomy. The surgeon's notes indicate that the risks, benefits, and alternatives of the surgery were discussed with the client earlier in the shift. The charge nurse asks the PN to obtain the client's signature on the consent document. As the PN hands over the pen, the client states, "If the doctor finds cysts on my right ovary during the operation, does signing this give them the right to take it out?" What is the most appropriate action for the PN to take?
A practical nurse (PN) is assigned to care for an infant who is admitted with respiratory syncytial virus (RSV). The facility policy requires both contact and droplet precautions for this diagnosis. Which of the following infection control actions should the PN take? (Select all that apply.)
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A practical nurse (PN) is providing care for several clients on a long-term care unit. Which of the following actions by the PN demonstrate appropriate protection of client confidentiality? Select all that apply.
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A practical nurse (PN) is managing the care of a client with right-sided hemiparesis who is preparing for transfer to an inpatient rehabilitation facility. Arrange the PN's collaborative, delegatory, and care coordination actions in the most appropriate chronological order.
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During the night shift, a client recovering from a fractured pelvis becomes agitated and continuously attempts to climb over the bed rails. To maintain safety, what is the best initial intervention for the practical nurse to implement?
A healthcare provider asks a licensed practical nurse to obtain a signature on an informed consent document for a client's scheduled cholecystectomy. Upon entering the room, the client states, "I am really scared, and I do not understand what they will do to my gallbladder." Which action is most appropriate for the nurse to take?
A practical nurse (PN) is caring for a client with a high body mass index (BMI) who is hospitalized for severe pneumonia. During the night shift, the client becomes acutely disoriented, combative, and slides dangerously close to the foot of the bed, which severely compromises their respiratory expansion. The PN must move the client back up in bed. Which approach represents the safest application of ergonomic principles and equipment management?
A client with a documented history of mild cognitive impairment is hospitalized for the treatment of pneumonia. During the shift, the client becomes abruptly agitated, frequently attempts to climb out of bed, and pulls at the intravenous tubing. Which action should the practical nurse implement to ensure safety while minimizing the use of restrictive devices?
An ambulatory care practical nurse (PN) is evaluating an older adult client who was brought to the clinic by a family caregiver. During a private portion of the examination, the PN notes bilateral, fading contusions on the client's upper arms that resemble grip marks. The client tearfully admits that the caregiver sometimes forcibly restrains them during arguments. The client begs, "Please keep this a secret; I do not want to be sent to a facility." Moments later, the caregiver enters the examination room and insists on reading the clinical documentation. What is the PN's mandatory legal course of action?
During a follow-up visit at an outpatient clinic, a practical nurse (PN) evaluates a frail adult client who requires assistance with activities of daily living. The client is accompanied by their primary caregiver. The PN observes multiple unexplained bruises on the client's back and notes that the client flinches and remains silent when the caregiver speaks sharply. To advocate for the client's right to a safe environment, what is the most appropriate action for the PN to take?
A practical nurse (PN) at a long-term care facility is preparing to obtain a resident's signature on a consent document for a palliative thoracentesis. The healthcare provider previously discussed the procedure with the resident. The resident has a documented "Do Not Resuscitate" (DNR) order on their chart. When the PN presents the consent document, the resident states, "I know the doctor explained the benefits, but I forgot what they said about the risk of my lung collapsing. Also, I've decided I want to cancel my DNR order starting today." Which of the following actions by the PN are legally and professionally required? (Select all that apply.)
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A practical nurse is preparing to safely transfer a client with left-sided hemiparesis (weakness) from the bed to a wheelchair. To prevent injury to both the client and the nurse, arrange the following steps in the correct chronological order. (Place the first action at the top and the final action at the bottom).
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A resident in a long-term care facility has a methicillin-resistant Staphylococcus aureus (MRSA) infection in a sacral pressure injury. The practical nurse is preparing to change the resident's soiled bed linens. Which of the following combinations of personal protective equipment (PPE) must the nurse wear?
The healthcare team on an acute care medical-surgical unit is organizing client care for the shift. Match each specific clinical task to the interprofessional team member most qualified and legally authorized to perform it.
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A practical nurse enters a client's room and discovers a small fire in the bedside wastebasket. The client is in bed and receiving supplemental oxygen. In what order should the nurse perform the following actions? Arrange the actions from first to last.
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A practical nurse (PN) is coordinating client care with a registered nurse (RN) and an assistive personnel (AP) on a medical-surgical unit. Which of the following decisions by the PN demonstrates the most appropriate application of scope of practice, delegation, and collaborative care principles?
Connect the following routine healthcare encounters with the appropriate security protocol required to safeguard protected health information (PHI).
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