Physiological Integrity

A practical nurse is reinforcing teaching for a client who has a right fractured tibia and is prescribed strict non-weight-bearing status. The client is using axillary crutches and needs to ascend a flight of stairs. In what order should the nurse instruct the client to perform these actions? (Arrange the steps from first to last.)

A practical nurse is preparing to administer a combination of regular insulin and neutral protamine Hagedorn (NPH) insulin to a client with diabetes mellitus. Arrange the following steps for preparing the mixed insulin injection in the correct chronological order.

A practical nurse (PN) is reviewing the morning data for a 72-year-old client who is 24 hours post-operative following a right total hip arthroplasty. The client is scheduled to receive a morning dose of subcutaneous enoxaparin.

The client reports feeling dizzy when sitting on the edge of the bed and rates incisional pain as a 4 on a 0 to 10 scale. Based on these findings, which action represents the most appropriate risk reduction strategy for the PN to take?

A client returns to the medical-surgical unit immediately after a percutaneous liver biopsy. To minimize the risk of bleeding from the puncture site, which of the following positions should the practical nurse place the client in?

A practical nurse is reviewing the morning data for a client who has been receiving a continuous intravenous heparin infusion for the past four days to treat a deep vein thrombosis. Which finding represents the greatest physiological risk to the client and requires immediate escalation to the registered nurse?

A practical nurse is caring for a client in a rehabilitation facility who is 48 hours postoperative following a right below-the-knee amputation. To prevent flexion contractures, which of the following positioning strategies should the nurse implement?

Following a subtotal thyroidectomy, a client is admitted to the medical-surgical floor for postoperative recovery. The practical nurse is implementing non-pharmacological interventions for this client. Which specific actions should be included? Select all that apply.

A practical nurse is caring for a pediatric client who weighs $60\text{ lb } 8\text{ oz}$. The health care provider originally prescribed valproic acid $18\text{ mg/kg/day}$ PO divided into equal doses administered every 8 hours. Due to a recent subtherapeutic serum trough level, the provider wrote a new prescription to increase the client's total daily dose by $25\%$. The pharmacy dispenses valproic acid oral syrup at a concentration of $250\text{ mg}/5\text{ mL}$.

How many mL should the practical nurse administer for ONE dose? (Record answer to the nearest tenth. Do not include units in answer.)

A practical nurse is assisting a client with a meal who is recovering from a recent cerebrovascular accident (CVA). The client has right-sided hemiplegia and has been diagnosed with oropharyngeal dysphagia. The dietary prescription is a pureed diet with honey-thick liquids. Which action should the practical nurse implement to ensure client safety and comfort during the feeding?

A practical nurse (PN) is planning care for an older adult client who is 4 hours postoperative following a percutaneous endoscopic gastrostomy (PEG) tube placement. The client has right-sided hemiplegia from a previous stroke, is receiving continuous enteral tube feedings, and is experiencing frequent episodes of liquid stool. Which of the following actions should the PN include in the client's plan of care? (Select all that apply.)

A $44\text{-lb}$ pediatric client is receiving care for a respiratory tract infection. The client's pharmacological plan includes scheduled oral amoxicillin at $20\text{ mg/kg}$ per dose and an as-needed intravenous (IV) push antiemetic for nausea. The unit stocks the amoxicillin oral suspension in a concentration of $250\text{ mg}/5\text{ mL}$. To maintain safety and adhere to the scope of practice, which action is correct for the practical nurse to perform?

A practical nurse (PN) is preparing to collect a wound culture specimen from a client's stage 3 pressure injury. In what order should the PN perform the following actions to ensure an accurate specimen and reduce the risk of contamination? Arrange the actions in the correct sequence.

An assigned client with generalized weakness needs to be transferred from the bed to a bedside wheelchair. Arrange the following nursing actions in the correct sequence from first to last.

A practical nurse (PN) is reviewing clinical data for a 74-year-old client who is 12 hours post-operative following an open bowel resection with colostomy placement. The client is receiving continuous intravenous (IV) fluids and pain management via patient-controlled analgesia (PCA). Which of the following findings indicate a high risk for a developing complication and require immediate escalation to the registered nurse (RN)? Select all that apply.

A client is resting in bed 6 hours after an open cholecystectomy. While measuring vital signs, the practical nurse notes a heart rate of 118 beats per minute and a blood pressure of 88/52 mm Hg. The client's peripheral pulses are weak. What is the most appropriate next action for the nurse?

A client who takes warfarin for atrial fibrillation is scheduled to receive their daily dose. The practical nurse reviews the client's morning laboratory report and notes an International Normalized Ratio (INR) of 5.8. Which action should the nurse take?

A practical nurse is collecting vital signs for a client who is $4$ hours post-operative following an open cholecystectomy. The client's current vital signs are a blood pressure of $92/58$ mm Hg, a heart rate of $114$ beats/minute, and respirations of $20$ breaths/minute. The client states, "I feel a little dizzy and weak." Which action should the practical nurse take first?

An older adult client is 48 hours postoperative following a right below-the-knee amputation. The client requests assistance with morning hygiene and reports a dull, aching sensation in the missing lower right leg. Which basic care and comfort measures should the practical nurse implement? Select all that apply.

A practical nurse is providing care for a client who is $1$ day post-operative following an open abdominal surgery. Which of the following actions by the practical nurse demonstrate appropriate risk reduction and safe clinical practice? Select all that apply.

An interdisciplinary care team has established a treatment plan for a client admitted with acute decompensated heart failure and atrial fibrillation. The pharmacological prescriptions include a continuous intravenous heparin infusion, intravenous push furosemide, oral spironolactone, and topical nitroglycerin ointment. Which medication administration action should the practical nurse identify as being within their scope of practice?