Exhibits
Review H and P, nurse's notes, flow sheet, laboratory values, prescriptions, and imaging studies.
Highlight the times that the practical nurse (PN) should measure vital signs.
A. 1000
B. 1200
C. 1500
D. 1400
E. 1800
F. 1600
G. 2000
H. 0800
1000
1200
1800
1600
2000
0800
The Correct Answer is ["B","F","G","H"]
Vital signs are to be taken every 4 hours, as per the physician's orders. The correct times based on the 4-hour interval are:
H. 0800 (Initial time)
B. 1200 (4 hours after 0800)
F. 1600 (4 hours after 1200)
G. 2000 (4 hours after 1600)
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Circular or spiral: Circular or spiral turns are useful for covering areas of uniform thickness like the forearm or lower leg. However, they do not provide the necessary flexibility and joint support needed for an area like the wrist that requires frequent movement.
B. Figure-eight turns: Figure-eight bandaging is ideal for joints such as the wrist because it provides secure stabilization while allowing some range of motion. It supports the bandage placement over the wound and accommodates natural joint movement without slipping or tightening.
C. Arm sling: An arm sling supports the entire arm, typically used for fractures or shoulder injuries. It does not address localized wound care needs on the palm or help secure a dressing at the wrist specifically.
D. Glove or sock: A glove or sock dressing covers an entire hand or foot but would not adequately stabilize a dressing over a specific wound on the palm while allowing wrist mobility. It also may not keep the dressing in firm contact with the wound.
Correct Answer is A
Explanation
A. Place the suppository high in the rectum: Inserting the suppository high in the rectum ensures that it is positioned beyond the anal sphincter, where it can be effectively absorbed. Proper placement maximizes the medication's effect and prevents expulsion, which is critical for achieving pain relief and antispasmodic benefits after prostate surgery.
B. Allow the suppository to soften before insertion: Allowing the suppository to soften may make it difficult to insert and can result in incomplete delivery of the medication. A firm suppository is easier to insert properly and ensures accurate medication placement and effectiveness.
C. Freeze the suppository prior to insertion: Freezing the suppository is not recommended because it can make it too hard and sharp, potentially causing trauma to delicate rectal tissues, especially in a postoperative client who may already have increased sensitivity and healing tissues.
D. Avoid use of a lubricant with insertion of the suppository: Using a water-soluble lubricant is important during suppository insertion to minimize mucosal trauma and facilitate smoother placement. Avoiding lubrication can cause unnecessary discomfort and increase the risk of rectal injury.
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