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 ["A"]

Explanation

A. Mood alterations, including irritability and emotional lability, are common in individuals with Cushing's syndrome due to hormonal imbalances.
B. Hearing loss is not a known symptom or manifestation of Cushing's syndrome.

C. Impaired cognition might occur but isn't typically associated with overt anger or mood swings.
D. Memory loss isn't a primary symptom of Cushing's syndrome.

A. Insert lubricated tip of tubing 3 to 4 inches into the rectum. B. Position client in left lateral recumbent position to expose buttocks. C. Chill the enema solution to help reduce the client's fever. D. Encourage client to retain solution for at least 5 minutes. E. Clamping the enema administration tubing

Correct Answer is ["A","B","D","E"]

Explanation

A. Inserting the lubricated tip of the tubing 3 to 4 inches into the rectum allows for the proper administration of the enema.
B. Positioning the client in the left lateral recumbent position helps expose the rectum for the enema administration.
C. Chilling the enema solution isn't recommended as it might cause discomfort or shock to the client.
D. Encouraging the client to retain the solution for at least 5 minutes helps ensure effectiveness.

E. Clamping the enema administration tubing after filling the enema bag helps control the flow during the procedure.

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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) overhears a female client with Cushing's syndrome telling her family in a very loud and angry voice to leave her room and not to come back. The response by the PN is based on recognizing which common manifestation of the syndrome.

Correct Answer is ["A"]

Explanation

The practical nurse (PN) is administering a saline enema to a client who was admitted because of a fever of unknown origin and is now constipated. Which techniques should the PN use? (Select all that apply.)

Correct Answer is ["A","B","D","E"]

Explanation

A mother asks the practical nurse (PN) about the immunization schedule for whooping cough. Which is the recommended schedule that the PN should convey?

The practical nurse (PN) believes that a prescription for a child is incorrect because the dosage prescribed is the usual adult dosage. Which action should the PN take?

The practical nurse (PN) observes two unlicensed assistive personnel (UAP) turning an older client who had a hip arthroplasty with prosthesis placement four hours ago. Which observation by the PN indicates that the UAPS needs additional information about the turning procedure?

The practical nurse (PN) palpates a client's radial pulse and notes that the pulse disappears when light pressure is applied. How should the PN document this finding?

A client is scheduled for a thoracentesis that will be done at the bedside. What should the practical nurse (PN) prepare before the healthcare provider arrives on the unit to perform the procedure?

The practical nurses (PN) notes that an unlicensed assistive personnel (UAP) is ambulating a male client who had a stroke and has right-sided weakness. The UAP is walking on the client's left side. Which action should the PN take?

What is most important for the practical nurse (PN) to include when performing pain assessment after giving an analgesic?

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