The practical nurse (PN) is assisting in a community center clinic when four clients simultaneously arrive seeking help. In which order should the PN prioritize care to be provided based on the client needs? (Arrange the client with the highest priority first, on top, and lowest priority last, on botom.)
A 12-year-old child with history of asthma who is wheezing and complaining of shortness of breath.
A 7-year-old child who has type 1 diabetes mellitus and is experiencing extreme hunger and shakiness
A 10-year-old child with bleeding lacerations on both knees after falling on the playground
A 5-year-old child who is crying uncontrollably because of an incontinent bowel episode.
The Correct Answer is A,B,C,D
A 12-year-old child with history of asthma who is wheezing and complaining of shortness of breath.
This client has the highest priority, as he or she may be experiencing an acute asthma atack that can compromise the airway and oxygenation. The PN should assess the client's respiratory status, administer bronchodilators, and monitor for improvement or deterioration.
A 7-year-old child who has type 1 diabetes mellitus and is experiencing extreme hunger and shakiness.
This client has the second highest priority, as he or she may be experiencing hypoglycemia, which is a low blood glucose level that can cause neurologic symptoms such as confusion, seizures, or coma. The PN should check the client's blood glucose level, provide a source of glucose, and monitor for recovery or complications.
A 10-year-old child with bleeding lacerations on both knees after falling on the playground.
This client has the third highest priority, as he or she may have a risk of infection or blood loss from the wounds. The PN should clean and dress the lacerations, apply pressure if needed, and check for signs of infection or inflammation.
A 5-year-old child who is crying uncontrollably because of an incontinent bowel episode.
This client has the lowest priority, as he or she does not have a life-threatening or urgent condition, but a psychosocial or emotional issue. The PN should provide comfort and reassurance to the child, change his or her clothes, and explore the possible causes of the incontinence.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
While getting an influenza vaccine annually is important for individuals with diabetes to prevent complications from influenza, it is not specific to diabetes self-management.
Using salt, herbs, and spices to enhance the flavor of foods can help reduce the reliance on added sugars and unhealthy fats for flavoring, which is beneficial for individuals with diabetes in managing blood sugar levels and overall health.
Alcohol use interferes with glycemic control. Diabetic clients should stop taking alcohol completely to reduce the risk of complications
Eating a protein snack before exercise may be helpful for some individuals to provide sustained energy and maintain blood sugar levels during physical activity. However, it is not a universal recommendation for all individuals with type 2 diabetes.
Correct Answer is C
Explanation
C. Herpes zoster is caused by the reactivation of the varicella-zoster virus, the same virus that causes chickenpox (varicella). Asking whether everyone at home has already had varicella helps assess the risk of exposure to susceptible individuals who could potentially develop chickenpox upon exposure to the herpes zoster rash.
A. Sharing combs and brushes may increase the risk of transmitting head lice, fungal infections, or bacterial infections, but it is not directly relevant to the assessment of herpes zoster.
B. Dry patches on the feet and hands may be indicative of various dermatological conditions such as eczema or psoriasis, but they are not specific to herpes zoster. Herpes zoster typically presents as a painful rash with clusters of fluid-filled blisters along a specific dermatome
D. Asking about the effectiveness of antifungal creams is relevant if the client is being treated for a fungal infection, but it does not provide information specific to herpes zoster.
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