The practical nurse is assisting with the implementation of an obesity screening program in a pediatric clinic. It is best to begin the screening program with which group?

High school.

Elementary school.

Onset of puberty.

Kindergarten.

Answer and Explanation

The Correct Answer is B

A. High school: Beginning screening at the high school level is too late for early intervention. By adolescence, many obesity-related habits and risk factors are already established, making prevention efforts less effective compared to earlier childhood interventions.
B. Elementary school: Screening during elementary school years is best because it allows early identification of unhealthy weight patterns. Early detection helps in promoting healthy lifestyle habits before adolescence, improving long-term outcomes and reducing the risk of chronic diseases.
C. Onset of puberty: While puberty brings significant physical changes, waiting until this stage may miss earlier opportunities for preventive education and intervention. Early habits formed in childhood often persist into adolescence and adulthood.
D. Kindergarten: Although health education can start early, formal obesity screening at kindergarten may be premature since normal variations in growth patterns are common at that age. Targeting elementary-aged children provides a better balance between early intervention and developmental appropriateness.

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Correct Answer is C

Explanation

A. Repeat the total bed bath and complete linen change: Repeating a full bed bath is not necessary unless the client is extensively soiled. It is more efficient and less disruptive to clean only the areas affected by incontinence while ensuring comfort and hygiene are maintained.
B. Place incontinent pads around the client's buttocks: While using incontinent pads helps manage future incontinence, it does not address the immediate need to clean the client and remove soiled linens, which is crucial to prevent skin breakdown and infection.
C. Cleanse any soiled skin and change the soiled linens: Cleaning the soiled skin and changing the linens is the best immediate response to maintain skin integrity, prevent infection, and promote client comfort. This targeted approach ensures the client remains clean without unnecessary interventions.
D. Spray a skin protectant around the perineal area: Applying a skin protectant is a helpful preventive measure after cleansing, but it should not be the first step. The priority is to remove feces and soiled linens before considering protective applications to the skin.

A. Maintain sterile technique during specimen collection. B. Assist the client to cleanse the perineal area prior to voiding. C. Instruct the client to discard the first voided specimen. D. Insert an indwelling urinary catheter.

Correct Answer is C

Explanation

A. Maintain sterile technique during specimen collection: Sterile technique is required for urine cultures, not for 24-hour urine collections. For a timed urine collection, clean collection techniques are sufficient to accurately measure excretion over a full day.
B. Assist the client to cleanse the perineal area prior to voiding: While perineal hygiene is important, it is not the primary step when starting a 24-hour urine collection. The critical action is ensuring that the first void is discarded to properly begin timing the collection period.
C. Instruct the client to discard the first voided specimen: The first void is discarded to ensure the collection accurately measures substances excreted during the full 24-hour period. Timing officially starts after discarding the initial urine, and every subsequent void must be collected.
D. Insert an indwelling urinary catheter: Inserting an indwelling catheter is unnecessary unless the client is unable to void independently. Most 24-hour urine collections are performed using normal voiding and collection into a clean container.

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The practical nurse is assisting with the implementation of an obesity screening program in a pediatric clinic. It is best to begin the screening program with which group?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Immediately after completing the total bed bath and linen change for an unconscious client, the practical nurse (PN) observes that the client was incontinent with a large amount of liquid feces. Which action should the PN implement?

Correct Answer is C

Explanation

When initiating a 24 hour urine collection, which action should the practical nurse (PN) take?

Correct Answer is C

Explanation

When caring for a client with severe diarrhea, which focused assessment is most important for the practical nurse (PN) to complete before reporting to the charge nurse?

Exhibits The practical nurse (PN) calls the healthcare provider to notify them that the heart rate is too low to administer the digoxin. Place the nurse statements in Situation, Background, Assessment, Recommendation (SBAR) format. Each column must have at only one answer selected.

The practical nurse (PN) identifies an electrolyte imbalance, an elevated blood pressure, and exhibited changes in mental status for a client with acute kidney injury (AKI). Which intervention in the plan of care should the PN implement?

While applying sterile gloves (open method), which action should the practical nurse (PN) take to ensure that surgical asepsis is maintained?

The practical nurse (PN) is caring for a client who is experiencing overwhelming anxiety and difficulty performing self care. Which question should the PN ask first?