A client who delivered vaginally 18-hours ago develops a slight fever. The delivery record shows spontaneous rupture of membranes (SROM) for 36 hours prior to delivery and labor lasting 24 hours. An epidural was placed during labor, and the client experienced a third-degree perineal laceration.

The practical nurse (PN) should recognize which information poses the greatest risk for developing postpartum endometritis?

Epidural anesthesia.

SROM for 36 hours.

Third-degree perineal laceration.

Labor lasting for 24 hours.

Answer and Explanation

The Correct Answer is B

The information that poses the greatest risk for developing postpartum endometritis in this situation is that the client experienced spontaneous rupture of membranes (SROM) for 36 hours prior to delivery. SROM for an extended period of time increases the risk of infection, including postpartum endometritis, which is an infection of the uterus. The practical nurse (PN) should recognize this risk factor and monitor the client closely for signs of infection. The other information listed may also be important to consider, but SROM for 36 hours poses the greatest risk for developing postpartum endometritis in this situation.

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Correct Answer is B

Explanation

The PN should inform the client that athlete's foot is a fungal infection and that antibiotics are not eﬀective against fungi. The client needs to use an antifungal medication to treat the infection. The other options are not accurate or appropriate responses.

Antibiotics take a week to be eﬀective against the infection (A) is not accurate because antibiotics are not eﬀective against fungal infections.

When the itching stops, continue to use the ointment for two weeks (C) is not appropriate because the client is using the wrong type of medication.

A thick layer of the medication is needed to stop the itching (D) is not accurate because the client is using the wrong type of medication.

A. Vitamin tablets. B. Toilet bowl cleaner. C. Kerosene. D. An unknown substance.

Correct Answer is A

Explanation

Vitamin tablets are unlikely to cause significant harm to the esophagus if the child vomits after ingesting them. However, toilet bowl cleaner and kerosene are corrosive substances that can cause serious damage to the esophagus and other tissues if ingested.

An unknown substance cannot be evaluated for potential harm to the esophagus.

In any case, the mother should be advised to seek immediate medical attention for her child if they have ingested any potentially harmful substance.

The PN should also follow their facility's policies and procedures for managing cases of poisoning or suspected poisoning.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client tells the practical nurse (PN), "I have been applying triple antibiotic ointment to my athlete's foot for the past two days, but it still itches." How should the PN respond?

Correct Answer is B

Explanation

A mother calls the clinic to report that her child has just swallowed "poison" and is vomiting. In preparing to instruct the mother about the necessary action to take, which substance should the practical nurse (PN) consider to be the least traumatic to the esophagus when the child vomits?

Correct Answer is A

Explanation

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 client on the mental health unit has been scowling and rapidly pacing up and down the hall for several minutes. Which behaviors are most important for the practical nurse (PN) to monitor?

The healthcare provider informs an 18-year-old male client that he has Hodgkin's disease. When the practical nurse (PN) enters the room, the client shouts, "Get out of here! I don't want to see anyone! I just want to die!" Which initial response should the PN make?

A primigravida who is at 10-weeks gestation is hospitalized on the antepartum unit for pyelonephritis. The client tells the practical nurse (PN) that she has had several episodes of nausea. When reviewing her lunch menu, which food should the PN discourage her from choosing?

The practical nurse (PN) is caring for a client in the preoperative holding area who is waiting for abdominal surgery. The client tells the PN about feeling afraid and anxious because of the surgery. Which technique is best for the PN to assist the client to use while waiting for surgery?

The practical nurse (PN) is monitoring a 5-year-old following a fracture of the ulna. For which situation should the PN seek immediate intervention by the registered nurse (RN)?