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Exhibits

Based on the current focused assessment, what prescriptions should the practical nurse (PN) ask the health care provider to add? Select all that apply.

Give ibuprofen 400 mg PO every 6 hours PRN for fever

Give 1,000 mL sodium chloride now

Discontinue the peripheral IV

Insert an indwelling urinary catheter

Apply cardiac telemetry monitoring

Collect blood to test electrolyte levels

Prepare to defibrillate the client

Collect blood for a type and screen

Answer and Explanation

Correct Answer : A,E,F

A. Give ibuprofen 400 mg PO every 6 hours PRN for fever
The client has a fever of 101.5° F (38.6° C), so administering ibuprofen to manage the fever is appropriate.
B. Give 1,000 mL sodium chloride now
This prescription is already ordered and being administered, so it does not need to be requested again.
C. Discontinue the peripheral IV
The client needs IV access for fluid administration and potential medications, so discontinuing the peripheral IV is not appropriate.
D. Insert an indwelling urinary catheter
There is no indication of urinary retention or need for precise fluid measurement, making this intervention unnecessary at this time.
E. Apply cardiac telemetry monitoring
Given the client's elevated heart rate and respiratory rate, cardiac telemetry monitoring would help in continuously assessing the client's cardiac status.
F. Collect blood to test electrolyte levels
Due to the client's symptoms and history of decreased fluid intake, electrolyte imbalance is a concern, and testing electrolyte levels is necessary.
G. Prepare to defibrillate the client
There is no indication of a cardiac emergency that would require defibrillation.
H. Collect blood for a type and screen
There is no indication of the need for a blood transfusion, making this intervention unnecessary.

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Correct Answer is A

Explanation

A. Intense cravings are a common symptom of cocaine withdrawal. Individuals withdrawing from cocaine often experience strong urges to use the drug again, as their bodies adjust to the absence of the substance.
B. Hyperactivity is more characteristic of cocaine intoxication rather than withdrawal. During withdrawal, individuals are more likely to experience fatigue and lethargy.
C. Being talkative is associated with cocaine use, not withdrawal. Cocaine stimulates the central nervous system, leading to increased talkativeness during intoxication, but withdrawal often involves a reduction in energy and social engagement.
D. Elation is a symptom of cocaine intoxication. During withdrawal, individuals are more likely to feel dysphoric, anxious, or depressed rather than elated.

Correct Answer is ["2"]

Explanation

The prescription is for 0.25 mg of digoxin, and each tablet contains 0.125 mg.

By dividing the prescribed dose (0.25 mg) by the strength of each tablet (0.125 mg), we get 2.

Answer = 2

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Exhibits Based on the current focused assessment, what prescriptions should the practical nurse (PN) ask the health care provider to add? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The practical nurse (PN) is caring for a client whose urine drug screen is positive for cocaine. Which behavior should the PN document as evidence of cocaine withdrawal?

Correct Answer is A

Explanation

A client receives a prescription for digoxin 0.25 mg by mouth. The medication is available in 0.125 mg tablets. How many tablets should the practical nurse (PN) administer? (Enter numeric value only. If rounding is required, round to the nearest tenth.)

Correct Answer is ["2"]

Explanation

The practical nurse (PN) observes an unlicensed assistive personnel (UAP) using an alcohol-based cleanser after delivering a client's breakfast tray to the room. The UAP rubs both hands thoroughly for 2 minutes while standing at the door to the client's room. Which action should the PN take?

A client is receiving an epidural anesthesia during labor. Which observation is the most important adverse effect that the practical nurse (PN) should assess for following the administration of the epidural?

While caring for a client one day following a thyroidectomy, the practical nurse (PN) notes that the client's voice is hoarse. Which action should the PN take?

The practical nurse (PN) is assigning tasks to an unlicensed assistive personnel (UAP) who is giving basic care to a group of residents in a long-term care facility. Which client's task should be completed by a PN, rather than the UAP?

A client who is experiencing paralysis of the left arm curses at the practical nurse (PN) and throws a hairbrush against the wall using the right arm. How should the PN respond?

Which client information is most important for the practical nurse (PN) to consider when providing instructions to the unlicensed assistive personnel (UAP) about providing morning care to a postoperative client?

Exhibits

Based on the current focused assessment, what prescriptions should the practical nurse (PN) ask the health care provider to add? Select all that apply.