A client has partial thickness burns to both arms. After medicating the client with an opioid analgesic, the practical nurse (PN) changes the sterile dressings. Which action is most important for the PN to implement before applying silver sulfadiazine cream to the burn lesions?

Apply the cream to the sterile dressings using a sterile tongue blade.

Remove the previous layer of medication using sterile normal saline.

Open all the supplies before donning sterile gloves.

Evaluate the client's response to the medications.

Answer and Explanation

The Correct Answer is B

A. Apply the cream to the sterile dressings using a sterile tongue blade:
Silver sulfadiazine is applied directly to the burn, not to the dressing.

B. Remove the previous layer of medication using sterile normal saline:
Old cream must be removed to ensure medication effectiveness and prevent debris accumulation.

C. Open all the supplies before donning sterile gloves:
Helps maintain sterile field but is not the most important step before application.

D. Evaluate the client's response to the medications:
Pain relief should be assessed, but cleansing is the critical preparation step before new application.

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Correct Answer is C

Explanation

A. The Patient's Bill of Rights: Important for patient care standards, but does not specifically define delegation limits.
B. The healthcare agency policy regarding working 12-hour shifts: Addresses scheduling, not the scope of tasks.
C. The state's Nurse Practice Act regarding delegation to unlicensed personnel: This legally defines what tasks can be delegated to UAPs.
D. The client's informed consent allowing unlicensed personnel to provide care: Consent does not override legal delegation limits.

A. Right clavicle and upper thorax. B. Left lower abdomen. C. Posterior iliac spine. D. Lower lumbar vertebrae.

Correct Answer is C

Explanation

A. Right clavicle and upper thorax: Not a standard site for bone marrow aspiration.
B. Left lower abdomen: Incorrect; bone marrow aspiration is not performed in the abdomen.
C. Posterior iliac spine: This is the preferred site in adults due to accessibility and safety.
D. Lower lumbar vertebrae: Rarely used; risk of injury to spinal structures.

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A client has partial thickness burns to both arms. After medicating the client with an opioid analgesic, the practical nurse (PN) changes the sterile dressings. Which action is most important for the PN to implement before applying silver sulfadiazine cream to the burn lesions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The practical nurse (PN) who is working as the charge nurse at an extended care facility is making assignments for the unlicensed assistive personnel (UAP) working a 12-hour shift. Which resource is most important in guiding the PN's assignments for the UAPS?

Correct Answer is C

Explanation

A client is admitted with leukopenia and is scheduled for a bone marrow aspiration. The practical nurse (PN) assists in positioning the client for specimen collection by exposing which site?

Correct Answer is C

Explanation

When caring for a child with sickle cell disease, the practical nurse (PN) expects that the child will most likely describe which symptom when experiencing a sickle cell crisis?

The practical nurse (PN) is caring for a client with fractured metatarsals after slamming a hand in the car door. After administering the prescribed hydrocodone/acetaminophen for pain, which intervention should the PN include in the client's care?

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The practical nurse (PN) is monitoring care activities of an unlicensed assistive personnel (UAP). Which observed behavior(s) by the PN indicate that the UAP needs additional guidance? Select all that apply.