The nurse is very busy and running late with administering medications and asks the practical nurse (PN) to administer a medication already drawn up in an unlabeled syringe. How should the PN respond?

"I am not comfortable doing that;. Is there something else I can do to help you?"

"Teamwork is the best approach. I will be glad to help you get caught up."

"You should know that I cannot administer the medication in this syringe."

"As long as the charge nurse checks the syringe, I can give the medication."

Answer and Explanation

The Correct Answer is A

A. "I am not comfortable doing that; Is there something else I can do to help you?": The PN should refuse to administer an unlabeled medication because it violates safety standards and legal regulations. Offering to assist in another way demonstrates professionalism while maintaining patient safety.

B. "Teamwork is the best approach. I will be glad to help you get caught up.": Agreeing to help without addressing the unlabeled syringe does not ensure safety and could place both the PN and the patient at risk.

C. "You should know that I cannot administer the medication in this syringe.": While accurate, this statement is abrupt and does not offer an alternative solution or maintain a collaborative approach with the nurse.

D. "As long as the charge nurse checks the syringe, I can give the medication.": Administering medication in an unlabeled syringe is unsafe and not allowed under any circumstances, even if a supervisor checks it. Patient safety must come first.

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Correct Answer is C

Explanation

A. Expressing anger with his roommate: While the client’s frustration should be addressed to maintain comfort and therapeutic rapport, anger does not pose an immediate physical risk. This concern can safely be managed after attending to clients with higher safety priorities.

B. Complaining of dried blood on gown: Dried blood may suggest mild oozing at a previous procedure site, but it is not an immediate emergency. The client should be assessed soon, but not before evaluating someone at risk of injury or active harm.

C. Attempting to get out of bed: A client with a history of falls attempting to ambulate unassisted faces immediate danger of physical injury. Fall prevention takes priority because it represents an urgent safety issue that can lead to fractures, head trauma, or internal bleeding if not promptly addressed.

D. Requesting pain medication: Pain management is important for client comfort and recovery, but it is a lower priority compared to preventing imminent physical harm. Once safety is ensured, pain control can be addressed appropriately.

A. Address the client to determine his needs. B. Administer a nighttime sedative. C. Bring the client to sit in the nursing station. D. Direct the client to go back to bed.

Correct Answer is A

Explanation

A. Address the client to determine his needs: The most appropriate intervention is to calmly approach the resident, assess his orientation, and determine what he needs. Older adults may wander due to confusion, discomfort, or unmet needs such as hunger, toileting, or pain.

B. Administer a nighttime sedative: Sedatives should not be given without a clear medical indication or provider order, as they increase the risk of falls, confusion, and dependency in older adults. Medication is not the first-line approach for managing nighttime wandering.

C. Bring the client to sit in the nursing station: Bringing the resident to the nursing station may offer temporary supervision but does not address the underlying reason for wandering. It may also cause disorientation or agitation if the environment is bright or noisy.

D. Direct the client to go back to bed: Simply instructing the resident to return to bed may be ineffective and distressing if he is confused or restless. A calm, needs-based approach that prioritizes understanding the cause of the behavior is safer and more therapeutic.

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The nurse is very busy and running late with administering medications and asks the practical nurse (PN) to administer a medication already drawn up in an unlabeled syringe. How should the PN respond?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

An older male resident of a long-term care facility is awake at 3:30 AM and wandering down the hall with his pajamas unbuttoned. Which intervention should the practical nurse (PN) Implement?

Correct Answer is A

Explanation

A client who is receiving chemotherapy has developed stomatitis. Which instruction should the practical nurse (PN) provide the unlicensed assistive personnel (UAP) who is assisting with the care of this client?

A female client with Alzheimer's disease develops edema in both ankles. The healthcare provider examines the client and determines she is in relatively good health with no cardiac or renal health problems. Which action should the practical nurse (PN) take?

The practical nurse (PN) is assigned to care for a client who had an endoscopic procedure in which a local anesthetic was sprayed on the throat. Which priority action should the PN include in this client's plan of care?

Two weeks after cast application, a client with a fractured right arm returns to the clinic for evaluation. The client seems upset and tells the practical nurse (PN) that the healthcare provider said a callus has formed on the bone. Which action should the PN take?

A client who is agitated is gesturing at the television in the day room and talking to an empty chair. Which interventions should practical nurse (PN) implement? Select all that apply.

The practical nurse (PN) is caring for a client with a nasogastric tube. Which directions should the PN give to the unlicensed assistive personnel (UAP)?

An older adult who was admitted to a long-term care facility yesterday is confused about what day of the week it is. Her history does not indicate that the client was confused prior to admission. What action should the practical nurse (PN) take?

The practical nurse (PN) is caring for a client who has a fractured right tibia and fibula. To reduce swelling and promote comfort, the PN should place the client in which position?