Before administering zolpidem at bedtime, which client assessment should the practical nurse
(PN) complete?

Mental status.

Body temperature.

Bowel sounds.

Skin integrity.

Answer and Explanation

The Correct Answer is A

A.   Assessing the client's mental status is crucial before administering zolpidem, a sleep aid, as it helps ensure the client is alert enough to take the medication safely. This assessment includes evaluating the client's level of consciousness, orientation, and cognitive function.
B.   Monitoring body temperature might be necessary in certain clinical situations, but it's not directly relevant before administering zolpidem unless there are specific concerns related to body temperature.
C.   Assessing bowel sounds is an important part of a comprehensive physical assessment, but it's not directly tied to the administration of a sleep aid like zolpidem.
D.   Evaluating skin integrity is important for overall patient care, but it's not specifically linked to the assessment needed before administering a sleep medication like zolpidem.

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Correct Answer is C

Explanation

A. Obliterating the entry could make the record look messy and might not meet documentation standards.
B. Notifying the charge nurse might be appropriate for major errors or if the policy requires it, but it might not be necessary for a simple correction like this.
C. Drawing a single line through the erroneous entry and inserting the correct information maintains the integrity of the chart and shows the correction clearly.
D. Charting the correct information in the next column might create confusion about the sequence of data and might not clearly indicate the correction made.

A. Ask the client if he finished the bowel sterilization prescription. B. Review the client's expectations of elimination after surgery. C. Verify that the client had nothing by mouth (NPO) for the past 24 hours. D. Determine if this is the first indwelling catheter the client has had.

Correct Answer is B

Explanation

A. Asking about the bowel sterilization prescription doesn't address the client's concern regarding the visibility of the surgical opening.
B. Reviewing the client's expectations after surgery could address the client's query about the visibility of the surgical opening and offer information regarding elimination.
C. Verifying the NPO status is important for surgery preparation but doesn’t directly address the client's specific concern.
D. Determining if this is the first indwelling catheter doesn’t directly address the client's immediate concern regarding the surgical opening.

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Before administering zolpidem at bedtime, which client assessment should the practical nurse (PN) complete?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The practical nurse (PN) is charting vital signs on a hand-written flow sheet and realizes that an error has been made. What should the PN do to rectify this error?

Correct Answer is C

Explanation

The practical nurse (PN) is assisting with preparation of a client for fecal diversion surgery. While inserting an indwelling urinary catheter, the client asks if the surgical opening will be visible. Which action should the PN implement?

Correct Answer is B

Explanation

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The practical nurse (PN) is caring for a client newly diagnosed with diabetes mellitus. Which finding indicates that the PN should obtain a capillary glucose measurement to assess for hypoglycemia?

The practical nurse (PN) administers an antibiotic to a client with a respiratory tract infection. To evaluate the medication's effectiveness, which laboratory values should the PN monitor? (Select all that apply.)

The practical nurse (PN) assists a client to a supine position. What should the PN use to prevent external rotation of the client's hips?

During the first trimester of pregnancy, a client who was treated for genital herpes with acyclovir prior to this pregnancy tells the practical nurse (PN) that she is experiencing an episode of genital herpes. Which nursing intervention has the highest priority?

Before administering zolpidem at bedtime, which client assessment should the practical nurse
(PN) complete?