Physiological Integrity

An older adult client arrives at the recovery unit after undergoing surgical removal of a cataract in the left eye. When setting up the bed and assisting the client to rest, which positioning action should the practical nurse implement?

During a morning shift, a practical nurse (PN) brings routine oral medications to a 65-year-old client. The client's vital signs include a blood pressure of $128/78\text{ mmHg}$ and a heart rate of $76\text{ beats/minute}$. The client reports no medication allergies. Which of the following actions should the PN take to ensure safe administration? Select all that apply.

A practical nurse is preparing an adult client with severe hepatic cirrhosis and ascites for a bedside abdominal paracentesis. Arrange the following pre-procedure actions in the correct chronological sequence to minimize the risk of procedural complications.

A practical nurse is caring for an older adult client receiving continuous enteral nutrition via a nasogastric tube. The client suddenly experiences forceful coughing, tachypnea, and expels enteral formula from their mouth. In which order should the practical nurse perform the following actions to minimize the client's risk for severe complications?

While preparing a client's morning medications, a practical nurse needs to combine prescribed doses of regular insulin and NPH insulin into one syringe. Place the actions required to safely prepare this mixed insulin injection into the correct chronological sequence.

A practical nurse (PN) is performing a routine dressing change for a client who is 4 days postoperative following an abdominal surgery. The client suddenly coughs forcefully, and the PN observes a loop of bowel protruding through the incision line. Arrange the following actions in the order the PN should perform them, from first to last.

A practical nurse is monitoring a client who is recovering from major abdominal surgery. What data collection findings should the nurse identify as early indicators of hypovolemic shock? (Select all that apply.)

A practical nurse is administering a prescribed dose of intramuscular iron dextran to a client with severe iron deficiency anemia. To prevent tissue irritation and staining, the nurse utilizes the Z-track method. Arrange the following actions in the correct chronological sequence for this procedure.

A 68-year-old client is 12 hours postoperative following a partial nephrectomy. The client uses the call light to report incisional pain rated 8 on a 0 to 10 scale. Upon entering the room, the practical nurse (PN) notes the client is restless, slightly diaphoretic, and confused about the current day of the week. Vital signs are temperature 98.4°F (36.9°C), pulse 116 bpm, respiratory rate 22/min, and blood pressure 106/62 mm Hg. The client's preoperative blood pressure was 142/84 mm Hg. Which action should the PN take FIRST?

To evaluate a client's risk for falls related to suspected fluid volume deficit, orthostatic vital sign monitoring is prescribed. Arrange the procedural steps for performing this assessment in the correct clinical sequence.

The practical nurse (PN) reviews the electronic health record (EHR) of a client admitted with an acute exacerbation of ulcerative colitis. The client is receiving continuous intravenous hydration and methylprednisolone.

Based on the clinical trajectory and current data, which action should the PN take first to reduce the client's risk for severe complications?

A client who underwent a supratentorial craniotomy two days ago requires morning hygiene care and a complete bed linen change. The client is alert, reports a mild headache, and has stable vital signs. Which approach must the practical nurse use when delivering this basic care?

A client who underwent a right total hip arthroplasty (posterior approach) two days ago is unable to transfer to the bathroom and requests assistance with a bowel movement. Which action should the practical nurse take to safely assist the client with elimination?

An older adult client is 24 hours postoperative following a right total hip arthroplasty using a posterior approach. The client suddenly exhibits acute confusion, severe restlessness, and reports urgent bladder fullness. The client is currently prescribed strict bed rest. Which action is most appropriate for the practical nurse (PN) to take to safely assist this client with elimination?

A practical nurse is caring for a client who is on postoperative day 2 following an exploratory laparotomy with a large midline abdominal incision. The client reports moderate incisional pain and nausea. Which basic care and comfort actions should the nurse implement? Select all that apply.

A practical nurse is preparing to administer a scheduled oral dose of metoprolol to a client diagnosed with hypertension. The client's current vital signs are blood pressure $130/82$ mm Hg and heart rate $78$ beats/min. Which action must the nurse perform immediately before administering the medication to ensure client safety?

A practical nurse is assisting with the admission of a client who has just returned to the nursing unit following a percutaneous liver biopsy. Which of the following positions should the nurse assist the client into?

An adult client who was recently diagnosed with bacterial conjunctivitis is prescribed ciprofloxacin ophthalmic solution. The practical nurse enters the client's room to instill the medication. In which order should the nurse perform the following actions? Arrange the steps in the correct chronological sequence from first to last.

An older adult client is receiving morning care 48 hours after undergoing a right above-the-knee amputation. When implementing hygiene, mobility, and comfort measures, which actions are appropriate for the practical nurse to take? Select all that apply.

A practical nurse is reinforcing teaching for a client who is non-weight-bearing on the right lower extremity and is learning to ascend a flight of stairs using axillary crutches. Arrange the following actions in the correct chronological sequence from first to last.