The practical nurse (PN) is assisting with the admission of a 12-month-old child with a history of frequent colds and growth failure. Testing is being planned for a possible diagnosis of cystic fibrosis (CF). Which information is most important for the PN to obtain?
The number of respiratory infections since birth.
The number of siblings in the family.
A description of the child's appetite.
The pattern of bowel movements.
The Correct Answer is D
The pattern of bowel movements is the most important information for the practical nurse (PN) to obtain when assisting with the admission of a 12-month-old child with a history of frequent colds and growth failure who is being tested for a possible diagnosis of cystic fibrosis (CF). CF can cause thick, sticky mucus to build up in the digestive tract, leading to problems with digestion and absorption of nutrients. This can result in bulky, greasy stools and growth failure.
The number of respiratory infections since birth (Option A) and a description of the child's appetite (Option C) are also important pieces of information, but they are not as critical as the pattern of bowel movements. The number of siblings in the family ( Option B) is not directly relevant to the child's medical condition.
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Correct Answer is D
Explanation
If a postpartum client who delivered vaginally 6-hours ago and had a second-degree perineal laceration reports feeling increased pain and pressure in her vaginal area, the practical nurse (PN) should apply an icepack to the perineum.Applying an icepack can help reduce swelling and provide pain relief in the affected area. The PN should also monitor the client's condition and report any changes or concerns to the healthcare provider. The other interventions listed may also be appropriate in some situations, but applying an icepack to the perineum is the most appropriate initial intervention in this situation.
Correct Answer is B
Explanation
The priority action for the practical nurse (PN) to take while caring for a client that has just arrived in the emergency department with 2nd degree thermal burns to the right thigh, lower leg and foot, and reports severe pain in the right leg is to remove clothing and cover the burned area with a cool damp cloth. This will help to cool the burn and reduce pain.
Anticipating rehydration of 1000 mL/6 hr. with normal saline (Option A) is an important intervention for burn patients, but it is not the first priority. Completely flushing the burned area with water or sterile saline (Option C) may be appropriate in some cases, but it is not the first intervention that should be implemented. Collecting data such as vital signs, blood gases, height and weight (Option D) is also important, but it is not the first priority.
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