The practical nurse (PN) is assisting with preparation of a client for fecal diversion surgery. While inserting an indwelling urinary catheter, the client asks if the surgical opening will be visible. Which action should the PN implement?

Ask the client if he finished the bowel sterilization prescription.

Review the client's expectations of elimination after surgery.

Verify that the client had nothing by mouth (NPO) for the past 24 hours.

Determine if this is the first indwelling catheter the client has had.

Answer and Explanation

The Correct Answer is B

A.   Asking about the bowel sterilization prescription doesn't address the client's concern regarding the visibility of the surgical opening.
B.   Reviewing the client's expectations after surgery could address the client's query about the visibility of the surgical opening and offer information regarding elimination.
C.   Verifying the NPO status is important for surgery preparation but doesn’t directly address the client's specific concern.
D.   Determining if this is the first indwelling catheter doesn’t directly address the client's immediate concern regarding the surgical opening.

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Correct Answer is A

Explanation

A. Determine the means by which residents will be evacuated. - This task requires critical decision-making and understanding of evacuation protocols, which is within the scope of the practical nurse's responsibilities.
B. Close all fire doors and the doors to all the residents' rooms. - While important for containment, this can be executed by UAP following established protocols.
C. Assist any wandering residents back to their rooms. - UAP can assist in guiding residents back to their rooms safely.
D. Offer comfort and reassurance to distraught residents. - Both PN and UAP can offer comfort and reassurance to residents during such situations.

A. Mood alterations. B. Hearing loss. C. Impaired cognition. D. Memory loss.

Correct Answer is ["A"]

Explanation

A. Mood alterations, including irritability and emotional lability, are common in individuals with Cushing's syndrome due to hormonal imbalances.
B. Hearing loss is not a known symptom or manifestation of Cushing's syndrome.

C. Impaired cognition might occur but isn't typically associated with overt anger or mood swings.
D. Memory loss isn't a primary symptom of Cushing's syndrome.

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The practical nurse (PN) is assisting with preparation of a client for fecal diversion surgery. While inserting an indwelling urinary catheter, the client asks if the surgical opening will be visible. Which action should the PN implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When a small fire breaks out in the kitchen of a long-term care facility, which task should be performed by the practical nurse (PN) rather than the unlicense assistive personnel (UAP)?

Correct Answer is A

Explanation

The practical nurse (PN) overhears a female client with Cushing's syndrome telling her family in a very loud and angry voice to leave her room and not to come back. The response by the PN is based on recognizing which common manifestation of the syndrome.

Correct Answer is ["A"]

Explanation

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