The practical nurse (PN) hears an older resident of a long term care facility shout profanities at

 The practical nurse (PN) hears an older resident of a long term care facility shout profanities at an unlicensed assistive personnel UAP ) who shouts back at the resident Which is the first action the PN should take ?A. Tell the resident and the UAP that shouting is not permittedB.Tell both of them to lower their voices in consideration of other residentsC. Enter the room and tell the UAP to leave the room immediatelyD.Report the incident and the UAP for further action by the nurse manager2. In providing care to a client immediately following a tonic – clonic seizure which activity is best for the practical nurse(PN) to assign nurse (PN) to assign to the  unlicensed assistive personnel (UAP) working with the PN?A.Perform neurologic checks .B.Perform oral suctioning.C. Place client in a recovery lateral positionD. Report the seizure to healthcare provider3. A client with obsessive compulsive disorder ( OCD ) reports .”Thoughts stick in my mind and the rituals I use are stupid , but I cannot control them. People laugh at me, but they don’t understand how awful it is. I am a burden to my family because cannot hold a job .I do  know much longer can live this way “Which information is most important for the practical nurse ( PN ) to ask in response to the client’s statements ?A. Ask if the obsessions and compulsions interfering with sleepB.Inquire if the distress could lead to consider suicide as an optionC.Determine what makes the client think people are laughingD.Question about which rituals are most often used to reduce anxiety.4. A client has a prescription for pilocarpine 2 gtt BID What is the best initial nursing action for the practical nurse ( PN ) to implement? A. Teach the client how to self – administer eye drops B .Check the strength of the solution prior to administering itC.Administer the medication as prescribed D.Contact the healthcare provider to clarify the prescription5. A client with obsessive compulsive disorder (OCD) is taking venlafaxine a serotonin norepinephrine reuptake  inhibitor ( SNRI ) .Which finding best determines a therapeutic response for this client ?A.Less distraction about somatic complaints B .A longer attention span when performing tasksC.Reduction in the amount of compulsive activityD.Majority of compulsive behaviors diminish within 6 to 12 months6. During the immediate postoperative period following a total hip replacement which intervention is most important for the practical implement ?A. Keep client’s hip aligned with knees abducted. B. Teach client to sit on the side of the bed before standingC.Monitor urinary flow via indwelling catheter D.Encourage client to use walker or cane when ambulating7. A male client who is anxious and fearful removed his rebreather face mask .The mask now needs to be reapplied Which action should the practical nurse ( PN ) take first ? A.Request that a respiratory therapist come to the roomB.Check that the reservoir bag inflates during exhalationC.Place mask over the bridge of the nose and then the mouthD.Secure the straps around each of the client’s ears8.   Morphine  sulfate via intravenous patient controlled analgesia ( PCA ) pump is prescribed for a client with severe chronic back pain . Thirty minutes after initiating the PCA pump the practical nurse( PN) notes that the client has become lethargic What action should the (PN)A. Determine the client’s pain scale ratingB. Check the IV insertion site for swellingC. Reinforce PCA pump teachingD .Measure the client’s vital signs9. The practical nurse ( PN ) observes an unlicensed assistive personnel prepare to exit a client’s room. The UAP’s hands appear visibly soiled  as the UAP uses a hand rub for 10 seconds to cleanse the hands .Which action should the PN’ take ? (UAP)A.Confirm that the UAP completed hand hygiene correctlyB .Advise the UAP to use the hand rub for 30 secondsC.Instruct the UAP to wash the hands for one minuteD:Ask the UAP why the hands were so obviously soiled10. After a coronary artery bypass graft , a client is discharged home with a referral for home health care and cardiac rehabilitation. Which information should the practical nurse ( PN ) monitor in evaluating the client’s status related to tertiary preventive care ? A.Family history of cardiac disease and current adherence to the medical regimen B .Status of the client’s incisions and indicators of postoperative complications C.The client’s tolerance for exercise progression and psychosocial adaptation D.Symptoms of exacerbation or worsening of the underlying cardiac disease11. A woman who delivered a normal newborn 24 hours ago reports seem to be urinating every hour or so that OK ?” Which action should  the practical nurse ( PN ) implement A .Measure the next voiding then palpate the client’s bladderB.Catheterize the client for residual urine volumeC.Evaluate for normal involution then massage the fundusD. Obtain a specimen for urine culture and sensitivity12. An older client is admitted to the psychiatric unit for assessment of a recent onset of dementia. The practical nurse(PN) notes that in the  evening this client often becomes restless confused and agitated. Which intervention should the PN implement ?A.Administer a prescribed PRN benzodiazepine at the onset of a confused stateB .Make certain that the client’s assigned room is close to the nurses stationC.Ask family members about how they dealt with the client in the eveningD.Delay administration of nighttime medications until after visitors have left13. Which client statement indicates to the practical nurse ( PN ) that the client understands the goal of the rehabilitation plan of care following a burn injury ?A .Recovery attainment is when one’s highest level of functioning is achievedB.When all wounds are closed complete recovery has been achievedC.Continuous rehabilitation will be required for the rest of a life timeD. Full recovery means performing all activities of daily living independently     ReplyForward             Health Science Science Nursing BIO 335 Share QuestionEmailCopy link Comments (0)

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