A client arrives to the clinic and describes concerns to the practical nurse (PN) about having mood swings, insomnia, and a lack of focus. Which information should the PN obtain first?

Onset of symptoms.

Methods to cope with stress.

Aggravating factors.

Recent life changes,

Answer and Explanation

The Correct Answer is A

Rationale:
A. This option is correct because determining the onset of symptoms helps the PN establish a timeline for the client’s current condition. Understanding when mood swings, insomnia, and lack of focus began is crucial for differentiating between acute stress reactions, adjustment disorders, or emerging mental health conditions. It also guides further assessment and appropriate referral.

B. This option is incorrect because while learning about coping methods is important, it is secondary to establishing when the symptoms started. Coping strategies are explored after the initial assessment of symptom history.

C. This option is incorrect because identifying aggravating factors is valuable for understanding triggers, but it follows an initial evaluation of symptom onset and severity. Without knowing when symptoms began, it is harder to link triggers accurately.

D. This option is incorrect because recent life changes may contribute to the client’s symptoms, but the PN should first gather information about the timing and duration of symptoms before exploring contributing factors.

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Correct Answer is ["A","B","C","D"]

Explanation

Rationale:
A. This option is correct because the prongs of the nasal cannula are inserted into the nostrils. Continuous contact and friction can cause irritation, redness, or even minor skin breakdown. Inspecting around the nostrils ensures early identification of pressure-related injury and allows the PN to implement interventions such as repositioning or padding.

B. This option is correct because the tubing of the cannula rests on the bridge of the nose. Pressure in this area can lead to redness, skin breakdown, or ulceration, especially in clients requiring long-term oxygen therapy. Regular assessment and use of protective barriers (like foam pads) can prevent injury.

C. This option is correct because the cannula tubing loops over the tops of the ears. Prolonged pressure can cause discomfort, redness, or skin breakdown, particularly in clients with thin or sensitive skin. Checking this area allows the PN to reposition the tubing, provide padding, or use alternative securing devices.

D. This option is correct because the cannula tubing rests along the cheeks and can rub against the skin, causing pressure or irritation. Assessment of the cheeks helps prevent skin breakdown and ensures proper cannula placement for effective oxygen delivery.

E. This option is incorrect because the nasal cannula does not contact the forehead. Pressure injuries or irritation in this area would be unrelated to nasal cannula use. Focusing on areas of direct contact (nostrils, bridge of the nose, ears, and cheeks) is essential for preventing device-related skin injury.

A. Increase healthcare provider office visits for obese adults. B. Reduce iron deficiency among females of childbearing ages. C. Reduce the number of students using school eating programs, D. Increase worksites offering health promotion programs. E. Increase the consumption of saturated fats in children.

Correct Answer is B

Explanation

Rationale:
A. This option is incorrect because increasing healthcare visits for obese adults is related to healthcare utilization and obesity management, not specifically a nutrition-focused objective under Healthy People 2030.

B. This option is correct because reducing iron deficiency among females of childbearing age is a key nutrition objective. Iron deficiency is a significant public health concern that can lead to anemia, poor pregnancy outcomes, and impaired health, making it a priority nutritional goal.

C. This option is incorrect because Healthy People objectives aim to increase, not reduce, access to and participation in nutritious school meal programs to support healthy eating in children.

D. This option is incorrect because increasing worksites offering health promotion programs falls under general health promotion and wellness objectives, not specifically nutritional goals.

E. This option is incorrect because Healthy People 2030 emphasizes reducing saturated fat intake in children to lower the risk of obesity and cardiovascular disease, not increasing it.

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A client arrives to the clinic and describes concerns to the practical nurse (PN) about having mood swings, insomnia, and a lack of focus. Which information should the PN obtain first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The practical nurse (PN) is providing care for a client with a nasal cannula. The PN removes the cannula and observes the client's skin for pressure areas caused by the cannula. Which areas should the PN observe? Select all that apply.

Correct Answer is ["A","B","C","D"]

Explanation

The practical nurse (PN) is reviewing the healthy eating objectives for Healthy People 2030. Which objective(s) are part of the nutritional goals? Select all that apply.

Correct Answer is B

Explanation

The practical nurse (PN) applies oxygen at 2 liters/minute via nasal cannula to a client with dyspnea. Thirty minutes later the client's oxygen saturation reading is 98% and the client continues to report feeling short of breath. Which action should the PN take?

Before shaving a male client with a safety razor, it is most important for the practical nurse (PN) to question the client about his use of which type of medication?

Patient Data Review H and P, nurse's note, and flow sheet. The practical nurse (PN) discusses energy intake and output in relation to weight management Drag from Word Choices to complete the sentence. The nurse should recommend that the client dropdown or dropdown to maintain energy balance.

The practical nurse (PN) tells the unlicensed assistive personnel (UAP) that an immobile client is at risk for the development of contractures. The UAP replies that compression stockings have been applied to the client's lower extremities. Which action should the PN take next?

A client who is dying is experiencing dyspnea. Which end-of-life (EOL) intervention(s) should the practical nurse (PN) implement? Select all that apply

The practical nurse (PN) places a temporal artery temperature scanner on a client's forehead as seen in the picture. What should the PN do next?

Prior to administering a scheduled medication, the practical nurse (PN) compares the client's stated name with the identification band and medication administration record. Which action should the PN take next?