Physiological Integrity

A practical nurse is assisting with the transfer of a client who has just returned to the clinical unit following a percutaneous right liver biopsy. The client reports mild discomfort at the puncture site. The client's blood pressure is 112/68 mm Hg, and the heart rate is 88 beats per minute. Which position should the practical nurse assist the client into for the initial recovery phase?

An LPN/LVN is reviewing the medication administration record for a client with an elevated temperature. The chart indicates an order for ibuprofen $400\text{ mg}$ PO. The unit medication cart contains a stock bottle of ibuprofen oral suspension labeled $100\text{ mg}/5\text{ mL}$. How many milliliters will the nurse administer for this dose? (Record your answer as a whole number. Do not include units in your answer.)

While rounding on a clinical unit, a practical nurse discovers a client with a continuous nasogastric tube feeding who has suddenly started coughing vigorously and expelling liquid formula from the mouth. The client is visibly struggling to breathe. Drag and drop the following nursing actions into the correct priority sequence from first to last.

A client recovering from a stroke is receiving continuous enteral nutrition via a nasogastric tube. The practical nurse is preparing to administer a scheduled dose of liquid acetaminophen through the tube. Arrange the following actions in the correct sequence to safely complete this medication administration.

A practical nurse is caring for a client who returned to the clinical unit following a percutaneous liver biopsy. Which basic care intervention should the nurse implement to minimize the risk of complications?

While providing evening care at a nursing facility, a practical nurse observes that a 78-year-old resident has suddenly become highly disoriented, verbally aggressive, and unable to recognize family members. The resident has a history of hypertension and osteoarthritis, with no previous cognitive deficits. Which immediate actions should the nurse perform? (Select all that apply)

A practical nurse (PN) is caring for a client who is receiving continuous enteral tube feedings via a nasogastric (NG) tube. The client suddenly begins to vomit and cough forcefully, and their oxygen saturation drops to 88%. Arrange the following nursing actions in the correct priority order from first to last.

An adult client is brought back to the inpatient room immediately after undergoing a diagnostic lumbar puncture. The provider has prescribed bed rest for the next several hours. Which action should the practical nurse take regarding the client's bed positioning to promote comfort and prevent complications?

A practical nurse (PN) preceptor is observing a newly hired PN provide care and administer medications to a group of clients. Which of the following actions by the newly hired PN indicate a breach of safety and require immediate intervention by the preceptor? Select all that apply.

A practical nurse is tasked with collecting an aerobic wound culture from a client's healing surgical incision. To ensure an accurate specimen and minimize the risk of sample contamination, in what chronological order should the nurse perform the following actions?

A practical nurse (PN) is reviewing the electronic health record (EHR) of an adult client who underwent a right femoral cardiac catheterization 3 hours ago.

Based on these findings, which of the following is the priority action for the practical nurse?

Upon receiving a lethargic client from the post-anesthesia care unit following a tonsillectomy, the practical nurse must establish a safe resting position. Which positioning strategy should the nurse use to facilitate the drainage of oral secretions and prevent aspiration?

The healthcare provider prescribes an aerobic wound culture for a client with a pressure injury on the sacrum. To obtain the specimen accurately and reduce the risk of contaminated diagnostic results, in what order should the practical nurse perform the following actions? Arrange the steps from first to last.

While conducting afternoon rounds, a practical nurse assesses an elderly client who is receiving continuous intravenous normal saline for dehydration. The client has a documented history of congestive heart failure. The nurse notes the client has developed a new, persistent dry cough and appears increasingly restless. Vital signs show a heart rate of 104 beats/min and a blood pressure of 148/92 mm Hg. Which action should the practical nurse take first?

An experienced nurse is observing a newly hired practical nurse during the morning medication pass on a medical-surgical unit. Which actions by the new nurse demonstrate correct adherence to medication safety protocols? Select all that apply.

While performing morning rounds, a practical nurse discovers that a client's intravenous tubing has disconnected from their central venous catheter hub. The client is suddenly gasping for air, extremely anxious, and cyanotic. To reduce the risk of a life-threatening complication, place the following nursing actions in the correct priority sequence.

A practical nurse is caring for a client who is 48 hours post-operative following a right above-the-knee amputation. To promote comfort and prevent hip flexion contractures, which position should the nurse encourage the client to assume for 20 to 30 minutes several times a day?

During morning rounds, a practical nurse reviews the electronic health record of a client diagnosed with bipolar disorder and hypertension. The client was admitted overnight for severe viral gastroenteritis with persistent vomiting and diarrhea. The morning laboratory results reveal a serum sodium level of $128\text{ mEq/L}$ ($128\text{ mmol/L}$). The client is scheduled to receive their routine oral lithium carbonate and oral hydrochlorothiazide in 30 minutes. Current vital signs indicate a heart rate of $115\text{ beats/min}$ and a blood pressure of $94/58\text{ mm Hg}$. Based on the client's clinical presentation, which action is the priority for the practical nurse?

A client is admitted to the medical unit with active gastrointestinal bleeding. Upon admission, the client's blood pressure was 122/80 mm Hg and heart rate was 78 beats per minute. One hour later, the practical nurse observes that the client's blood pressure has decreased to 98/62 mm Hg and the heart rate has increased to 112 beats per minute. Which action should the practical nurse take first?

A practical nurse (PN) is assisting a female client with collecting a midstream clean-catch urine specimen for a culture and sensitivity test. In which order should the PN perform or instruct the client to perform the following steps? (Arrange from first to last)