The practical nurse (PN) caring for a toddler is preparing to conduct a routine focused assessment. Which action should the PN take to promote an environment of family-centered care?

An 18-year-old client is diagnosed with mononucleosis and manifests left upper quadrant tenderness and an enlarged spleen. Which is the most important teaching that the practical nurse (PN) should offer this client?

A client has a prescription for NPH insulin 25 units before breakfast and insulin aspart before meals and hour of sleep per sliding scale. The sliding scale parameters are:

• O units for finger stick glucose less than 170 mg/dL;
• 5 units for finger stick glucose 171 to 219 mg/dL;
• 10 units for finger stick glucose 220 to 269 mg/dL;
• 15 units for finger stick glucose 270 to 300 mg/dL.
• Call healthcare provider for finger stick glucose greater than 300 mg/dL.

The client's 0730 finger stick glucose is 271 mg/dL.

What is the total amount of insulin this client should receive? (Enter numeric value only.)

The unlicensed assistive personnel (UAP) is assisting the practical nurse (PN) with client care. Which client should the PN instruct the UAP to help first?

The practical nurse (PN) is caring for a client with obstructive sleep apnea (OSA). The PN should recognize the client is at greater risk for the development of which complication?

A toddler is diagnosed with acute otitis media following an upper respiratory tract infection. The practical nurse (PN) explains to the parent that the predisposition for otitis media in young children is related to which difference as compared to adults?

A client with an infected spider bite is receiving IV antibiotics through a central venous catheter. The practical nurse (PN) observes that the client is weak, pale, and diaphoretic. Which additional finding should the PN report immediately to the charge nurse?

At 2100, an older adult client turns on the call light and reports to the practical nurse (PN) concerns of difficulty falling asleep. Which priority action should the PN implement?

The practical nurse (PN) notices that one of the unlicensed assistive personnel (UAP) working in the long term care facility consistently records subnormal temperatures when using a tympanic thermometer. Which action should the PN take first?

The practical nurse (PN) is caring for a client whose urine drug screen is positive for cocaine. Which of the following behaviors is this client likely to exhibit during cocaine withdrawal?

During an interview, an older adult client answers some questions inappropriately. The practical nurse (PN) observes there is a hearing aid in one ear. Which intervention is most helpful in assisting the client to hear the PN's question?