An adolescent with a history of recurring atopic dermatitis (eczema) tells the practical nurse (PN) of a desire to play high school football. Which action should the PN take?

Encourage the client to join the swim team instead of the football team

Discuss with the coach the client's skin condition and manifestations.

Emphasize showering with non-perfumed soaps immediately after practice.

Describe the problems associated with perspiration for those with eczema.

Answer and Explanation

The Correct Answer is C

A. Encourage the client to join the swim team instead of the football team: While swimming may be less irritating to the skin, discouraging participation in desired activities limits autonomy and may negatively affect self-esteem.

B. Discuss with the coach the client's skin condition and manifestations: Sharing personal health information without the client’s consent violates privacy. Education and preventive strategies should first empower the client to manage the condition safely.

C. Emphasize showering with non-perfumed soaps immediately after practice: Prompt cleansing with gentle, non-perfumed soaps helps remove sweat and irritants that can exacerbate eczema. This intervention promotes skin integrity while allowing the client to safely participate in desired physical activities.

D. Describe the problems associated with perspiration for those with eczema: Educating about potential triggers is important, but emphasizing preventive measures, such as immediate showering, is more practical and actionable for maintaining skin health during sports.

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Correct Answer is C

Explanation

A. Put the foam toothette between the lips: Using a toothette helps with oral hygiene, but if the client is at risk for aspiration, placing it in the mouth without proper positioning could allow fluids to enter the airway.

B. Position an emesis basin under the chin: An emesis basin is useful for catching secretions, but it does not prevent aspiration. The client must first be positioned safely to reduce the risk of choking.

C. Place the client in a side-lying position: Positioning the client on their side helps maintain airway patency and allows oral secretions to drain, reducing the risk of aspiration during oral care. This is the priority action before performing oral hygiene.

D. Insert an oral airway into the oropharynx: An oral airway is used to maintain airway patency in unconscious clients, but it is not required solely for safe oral care and may cause trauma if inserted unnecessarily. Positioning first is safer.

A. Confirm accuracy of the pulse rate obtained by the UAP B. Instruct the UAP to report any abnormal findings. C. Demonstrate the correct pulse site to the UAP. D. Remind the UAP to check the client's pulse volume.

Correct Answer is C

Explanation

A. Confirm accuracy of the pulse rate obtained by the UAP: Verifying the rate ensures accuracy but does not address an error in technique. If the UAP is using an incorrect location or method, the pulse reading may be unreliable even if counted correctly.

B. Instruct the UAP to report any abnormal findings: While reporting abnormal findings is an essential part of delegation, this instruction assumes the UAP is performing the skill correctly. The nurse must first ensure that the UAP understands proper technique before emphasizing reporting.

C. Demonstrate the correct pulse site to the UAP: The practical nurse should demonstrate the correct placement of fingers over the radial artery to ensure accurate assessment. Teaching proper technique prevents future errors, promotes competency, and upholds patient safety.

D. Remind the UAP to check the client's pulse volume: Assessing pulse volume is an important observation, but if the pulse site is incorrect, the measurement will not be valid. Correct technique must be established before refining assessment details such as volume.

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An adolescent with a history of recurring atopic dermatitis (eczema) tells the practical nurse (PN) of a desire to play high school football. Which action should the PN take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The practical nurse (PN) is assigned to care for a client that is unconscious and at risk for aspiration. The PN prepare oral care to the client as seen in the picture. Which action should the PN take next?

Correct Answer is C

Explanation

The practical nurse (PN) observes a newly hired unlicensed assistive personnel (UAP) who is counting a client's radial pulse as seen in the picture. Which action should the PN take?

Correct Answer is C

Explanation

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