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 D
Explanation
A. Breast pads wet with breast milk from a postpartum client with mastitis: Although mastitis involves infection, breast milk is not classified as a biohazard unless visibly contaminated with blood. Breast pads wet only with milk would typically be discarded in regular waste, not biohazard containers.
B. Straight urinary catheter tray used to collect a urine specimen for culture: The tray may have biological material but is not heavily saturated with blood or other highly infectious fluids. Urine alone, unless grossly bloody, does not typically require disposal in a biohazard container.
C. Urine soiled disposable bed pads for a client with hepatitis C: Even though the client has hepatitis C, urine is generally not considered a high-risk fluid for transmission of bloodborne pathogens unless visibly contaminated with blood. These pads would be disposed of in regular medical waste.
D. Postoperative dressing that is saturated with bright red blood: A dressing heavily saturated with blood must be placed in a biohazard container because blood is classified as a potentially infectious material. Proper disposal prevents exposure to bloodborne pathogens and meets infection control standards.
Correct Answer is C
Explanation
A. "With whom have you shared your feelings?": While this question encourages emotional expression, it is more appropriate once the client is calm and ready to discuss coping strategies. Immediate emotional support is needed first.
B. "Are you having any difficulty focusing at work?": Asking about work performance is not the priority when the client is currently overwhelmed by anxiety and struggling with basic self-care. Stabilizing the client emotionally is more urgent.
C. "Would you like me to sit with you for a while?": Offering presence and emotional support helps the client feel safe and less isolated during intense anxiety. This immediate action builds trust, reduces anxiety, and prepares the client for further assessment later.
D. "Have you experienced changes in your life recently?": Life changes are important to explore, but first the client needs reassurance and stabilization. Once the client is calmer, deeper assessment about life stressors can be conducted more effectively.
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