The practical nurse (PN) is acting as a peer coach for a new PN graduate. Which observed behavior(s) demonstrate to the PN that the new graduate can safely perform client care? Select all that apply.
Recaps needles prior to placing in sharps container.
Repositions clients who are immobile every 1 to 2 hours.
Applies fresh gloves after completing hand hygiene.
Uses sanitizing gel when hands are visibly soiled.
Plans fluid allowances per shift for fluid restricted clients.
Correct Answer : B,C,E
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Recommend using guided imagery to relax:
May help, but before suggesting relaxation techniques, it’s important to assess for environmental factors interfering with sleep.
B. Reassure the client that it is still early:
This dismisses the client’s concern and does not address the cause of insomnia.
C. Inspect the room's environmental aspects:
First priority is to assess for environmental disturbances (noise, light, temperature) that may affect sleep and can be corrected immediately.
D. Shut the client's room door securely:
May reduce noise but is a single intervention without a full assessment of environmental causes.
Correct Answer is C
Explanation
A. Infusion pump and IV site: Necessary but not priority for safety during epidural initiation.
B. Level of pain sensation: Important for effectiveness but not as urgent as monitoring for hypotension.
C. Maternal blood pressure (BP): Epidural anesthesia can cause vasodilation and maternal hypotension, which can compromise fetal oxygenation.
D. Variability of fetal heart rate: Important but affected indirectly by maternal BP; BP is assessed first.
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