A 2-day-old infant with hydrocephalus returns from surgery following placement of a ventriculoperitoneal shunt. Which nursing intervention(s) should the practical nurse (PN) implement during postoperative care? (Select all that apply.)

A child diagnosed with strep throat 3 days ago enters the clinic crying hysterically. The parent tells the practical nurse (PN) that the child screams in pain even with a light touch. The child is short of breath and anxious. Which manifestations warrant immediate intervention by the
PN?

An older male client who fell down several stairs 4-hours ago is scheduled for magnetic resonance imaging (MRI). What information should the practical nurse (PN) obtain from the client?

The practical nurse (PN) reviews the laboratory results of an elderly female client who is one day postoperative for a right total hip replacement (THR).

Which serum value result has the greatest implication for client safety?

Reference ranges

• Hemoglobin (Hgb) [12 to 16 g/dL (120 to 160 g/L)]
• Potassium (K+) [3.5 to 5.0 mEq/L (3.5 to 5.0 mmol/L)]
• Sodium [136 to 145 mEq/L (136 to 145 mmol/L)]
• Blood Urea Nitrogen (BUN) [10 to 20 mg/dL (3.6 to 7.1 mmol/L)]

The practical nurse (PN) is charting vital signs on a hand-written flow sheet and realizes that an error has been made. What should the PN do to rectify this error?

The practical nurse (PN) believes that a prescription for a child is incorrect because the dosage prescribed is the usual adult dosage. Which action should the PN take?

A female client who is scheduled to be discharged within several hours shows the practical nurse (PN) a knife on her tray and states that she could use it to cut herself. What intervention is most important for the PN to implement?

When assessing a client at 38-weeks gestation, the practical nurse (PN) determines that she has one set of female twins, who are now 6 years old, a son who is 4 years old, and last year she had a fetal loss at 24-weeks gestation. Which is the correct gravidity and parity for this client?

A 2-day-old infant with hydrocephalus returns from surgery following placement of a ventriculoperitoneal shunt. Which nursing intervention(s) should the practical nurse (PN) implement during postoperative care? (Select all that apply.)

The practical nurse (PN) assists a client to a supine position. What should the PN use to prevent external rotation of the client's hips?

A female client with immune thrombocytopenic purpura (ITP) is transferred to a long-term care facility for physical rehabilitation. To prevent injury, which action is most important for the practical nurse to implement?