A client is receiving wound care to a laceration on the anterior palm of the right hand. The practical nurse applies a medicated gauze and stabilizes it with an elastic support wrap that encompasses the wrist. Which bandaging method should the PN use that will maintain the medicated gauze in place and facilitate movement of the wrist joint?

Circular or spiral.

Figure-eight turns.

Arm sling.

Glove or sock.

Answer and Explanation

The Correct Answer is B

A. Circular or spiral: Circular or spiral turns are useful for covering areas of uniform thickness like the forearm or lower leg. However, they do not provide the necessary flexibility and joint support needed for an area like the wrist that requires frequent movement.
B. Figure-eight turns: Figure-eight bandaging is ideal for joints such as the wrist because it provides secure stabilization while allowing some range of motion. It supports the bandage placement over the wound and accommodates natural joint movement without slipping or tightening.
C. Arm sling: An arm sling supports the entire arm, typically used for fractures or shoulder injuries. It does not address localized wound care needs on the palm or help secure a dressing at the wrist specifically.
D. Glove or sock: A glove or sock dressing covers an entire hand or foot but would not adequately stabilize a dressing over a specific wound on the palm while allowing wrist mobility. It also may not keep the dressing in firm contact with the wound.

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Correct Answer is A

Explanation

A. A liquid nutritional supplement that contains protein: A full liquid nutritional supplement with added protein is best because protein is critical for skin integrity and tissue repair. Supplements also provide balanced calories, vitamins, and minerals necessary to support overall skin health and prevent breakdown.
B. Beef broth, or chicken broth: While broth provides fluids and some electrolytes, it is very low in calories and protein, making it insufficient alone for preventing impaired skin integrity in a client with reduced oral intake.
C. Fortified lowfat milk: Milk offers some protein and nutrients, but a specialized nutritional supplement is more calorie-dense and protein-rich, providing a more comprehensive solution for a client at risk for skin breakdown.
D. Apple or grapefruit juice: Fruit juices offer hydration and some vitamins but lack significant protein and calories. They are inadequate for maintaining skin integrity, especially when protein intake is a primary concern.

A. Notify the unit charge nurse of the client's reported symptoms immediately. B. Reassure the client that the supplement will soon relieve those symptoms. C. Explain that a calcium supplement may be necessary. D. Encourage the client to decrease the intake of dietary sodium.

Correct Answer is A

Explanation

A. Notify the unit charge nurse of the client's reported symptoms immediately: Tingling and numbness can be signs of hyperkalemia, a serious and potentially life-threatening complication from potassium supplementation. Immediate reporting is necessary for prompt evaluation and intervention to prevent cardiac or neuromuscular complications.
B. Reassure the client that the supplement will soon relieve those symptoms: Symptoms like tingling and numbness are not expected side effects of potassium therapy. Reassurance without investigation could delay necessary medical treatment and worsen the client’s condition.
C. Explain that a calcium supplement may be necessary: Calcium supplementation is not the standard response to symptoms of potassium imbalance. Without a clear diagnosis, recommending additional supplements could complicate the clinical situation further.
D. Encourage the client to decrease the intake of dietary sodium: Although reducing sodium is generally beneficial for health, it does not address the acute issue of possible potassium imbalance causing neuromuscular symptoms. Immediate clinical evaluation takes priority.

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Naxlex Comprehensive Predictor Exams

A client on a prescribed full liquid diet has a nursing problem of, "Risk for impaired skin integrity related to reduced oral intake." Which snack would be best to provide this client?

Correct Answer is A

Explanation

One week after beginning a new prescription for potassium chloride, a client tells the practical nurse (PN) that there is tingling and numbness in the feet and hands. Which action should the PN take?

Correct Answer is A

Explanation

A male client tells the practical nurse (PN) that he usually takes a smaller white tablet, not the large blue tablet that the PN gives him. Which action should the-PN implement first?

The practical nurse (PN) is performing a focused assessment on a client who is experiencing insomnia. The PN should gather additional information about which factor(s)? Select all that apply.

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The practical nurse (PN) plans to administer an IM injection into the mid anterior thigh. Which muscle group should be identified as the site of administration?-

When caring for a client with severe diarrhea, which focused assessment is most important for the practical nurse (PN) to complete before reporting to the charge nurse?