The practical nurse (PN) is caring for an adolescent with scoliosis who reports bilateral lower leg numbness and tingling 2 days after surgery for a spinal fusion. Which action should the PN take first?
Assess for bilateral pedal pulses.
Contact the healthcare provider.
Complete a neurovascular assessment.
Evaluate the surgical site.
The Correct Answer is C
A. Assess for bilateral pedal pulses: Only checks circulation; neuro symptoms need more complete exam.
B. Contact HCP: Should be done after gathering full assessment data.
C. Complete a neurovascular assessment: Checks motor, sensory, and circulation to determine urgency.
D. Evaluate surgical site: Important, but neurological changes require full neurovascular check first.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Use normal saline to rinse the client's mouth: Normal saline is safe, non-irritating, and helps maintain oral mucosa integrity.
B. Avoid contact with the roof of the mouth: Unnecessary; oral care includes cleaning all oral surfaces gently.
C. Lower the head of the bed to 30 degrees: This increases aspiration risk; the head should be elevated or the client positioned side-lying.
D. Don sterile gloves prior to performing oral care: Clean gloves are sufficient; sterile gloves are not required.
Correct Answer is C
Explanation
A. Raise the pitch of your voice and speak slower: Higher pitch may make it harder for older adults to hear; slowing speech can help but low pitch is better.
B. Sit with light of window behind you: Causes glare and makes lip reading harder.
C. Restate questions articulating consonants carefully: Clear articulation improves comprehension without straining the voice.
D. Stand above client and speak loudly: Loudness can distort sound and is uncomfortable.
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