Physiological Integrity

An older adult client with chronic obstructive pulmonary disease (COPD) and hypertension is admitted for a severe respiratory exacerbation. Current assessment findings include a blood pressure of 158/92 mmHg, a heart rate of 112 beats/min, a respiratory rate of 28 breaths/min, and an oxygen saturation of 88% on room air. The provider's orders include a one-time dose of intravenous (IV) push methylprednisolone, a stat albuterol nebulizer treatment, and a scheduled dose of oral amlodipine. Which of the following actions best demonstrates the appropriate role of the practical nurse (PN) in managing this client's pharmacological therapies?

A toddler weighing $35.2$ lb is prescribed oral acetaminophen $15$ mg/kg every $4$ hours as needed for fever. The medication available is an oral suspension with a concentration of $160$ mg/$5$ mL. How many milliliters should the practical nurse administer for one dose? (Record answer to the nearest tenth. Do not include units in answer.)

The practical nurse is preparing to draw up a prescribed medication from a glass ampule. Arrange the following steps in the correct chronological order.

A practical nurse is assisting a client with left-sided hemiparesis to transfer from the bed to a wheelchair. In what order should the nurse perform the following actions? Arrange the steps from first to last.

While conducting a routine postoperative assessment, a practical nurse reviews the status of an adult client who underwent an open cholecystectomy 4 hours ago. The client has a closed-wound drainage system that contains 30 mL of serosanguineous fluid. The client states, "My stomach hurts, and I feel a bit dizzy when I turn over."

A comparison of the client's vital signs reveals the following:

Based on these findings, what is the priority action for the nurse?

A $68$-year-old client is admitted to the medical-surgical unit with a deep vein thrombosis and is receiving a continuous intravenous heparin infusion. The practical nurse is reviewing the morning laboratory results and performing a routine assessment. The client's activated partial thromboplastin time (aPTT) is $118$ seconds (control $32$ seconds). During the assessment, the client reports a new, persistent headache. Vital signs are heart rate $112$ bpm, blood pressure $94/58$ mm Hg (baseline $132/78$ mm Hg), and respirations $20$/min. What is the most appropriate next action for the practical nurse to take?

A $65$-year-old client is admitted to the medical unit with an exacerbation of chronic obstructive pulmonary disease (COPD). The client's morning vital signs are blood pressure $138/82\text{ mm Hg}$, heart rate $88\text{ beats/min}$, and respiratory rate $20\text{ breaths/min}$. The practical nurse is reviewing the client's medication orders and preparing for administration. Which action by the practical nurse demonstrates safe and appropriate pharmacological practice?

A practical nurse is reviewing the morning laboratory results for an adult client receiving chemotherapy. Which finding indicates a significant risk for complications and must be reported to the registered nurse immediately?

A practical nurse is providing care for a client who is on strict bed rest following a left femoral cardiac catheterization. The client requires assistance with hygiene, elimination, and comfort. Which of the following basic care interventions should the nurse implement? (Select all that apply)

A client is prescribed a new oral penicillin antibiotic for a soft tissue infection. The practical nurse reviews the client's electronic health record and notes a documented anaphylactic reaction to cephalexin. Which action should the nurse take next?

An older adult client is recovering on the medical-surgical unit 48 hours following a right above-the-knee amputation. The client's vital signs are stable, and surgical pain is adequately managed with prescribed oral analgesics. To promote optimal physical mobility and prevent a major musculoskeletal complication associated with this procedure, which action should the practical nurse take?

An older adult client with a history of type 2 diabetes mellitus and hypertension is admitted to a medical-surgical unit for an acute exacerbation of osteoarthritis. The morning medication profile includes oral metformin, oral lisinopril, oral meloxicam, and a new prescription for oral prednisone $40\text{ mg}$. The unit pharmacy dispenses prednisone as $20\text{ mg}$ scored tablets. Which actions should the practical nurse (PN) take to safely administer and monitor these pharmacological therapies? Select all that apply.

A practical nurse is caring for a client who is 1 day postoperative following a transurethral resection of the prostate (TURP) and is receiving continuous bladder irrigation (CBI). The client suddenly reports severe lower abdominal cramping and a feeling of extreme bladder fullness. The nurse observes that irrigation fluid is infusing into the bladder, but there is no output in the catheter drainage bag. In what order should the practical nurse perform the following actions? Arrange the actions from first to last.

A practical nurse (PN) is providing a complete bed bath for a bedridden client. Arrange the following body parts in the correct order in which they should be washed, proceeding from the cleanest area to the dirtiest area.

A practical nurse is preparing to apply prescribed thigh-high anti-embolism stockings for a client who has been sitting in a bedside chair for the past three hours. In what order should the nurse perform the following actions? (Arrange the steps from first to last)

A licensed practical nurse (LPN) is monitoring a client who returned to the nursing unit 2 hours ago following an esophagogastroduodenoscopy (EGD) with a biopsy of esophageal varices. Which of the following assessment findings should the LPN identify as indicators of a potential complication requiring immediate escalation to the registered nurse (RN)? Select all that apply.

A primary care provider prescribes amoxicillin $500\text{ mg}$ orally for a client. The pharmacy dispenses an oral suspension with a concentration of $250\text{ mg}$ per $5\text{ mL}$. How many milliliters ($\text{mL}$) should the practical nurse administer per dose?

A practical nurse is preparing to transfer a client with left-sided hemiparesis from the bed to a wheelchair. In what order should the nurse perform the following actions? (Arrange the steps from first to last.)

An individual is under observation on a trauma unit following a pelvic fracture sustained the previous day. The client is resting quietly in a supine position and reports that their discomfort is well-controlled. Upon obtaining the current vital signs, the practical nurse notes a blood pressure of 110/78 mm Hg, a pulse of 108 beats per minute, and respirations of 22 breaths per minute. A review of the admission flowsheet from twelve hours prior shows a blood pressure of 132/74 mm Hg, a pulse of 78 beats per minute, and respirations of 16 breaths per minute. The indwelling urinary catheter has drained 25 mL over the past hour. Which action must the nurse take first?

A client with heart failure has a new prescription for furosemide $60\text{ mg}$ by mouth once daily. The pharmacy supplies furosemide oral solution with a concentration of $10\text{ mg}/1\text{ mL}$. How many milliliters ($\text{mL}$) should the practical nurse administer for each dose? Record your answer as a whole number. Do not include units in your answer.