The practical nurse (PN) is preparing to assist an elderly client to the bathroom. The PN knows that an elderly adult's center of gravity changes from the hips to another area of the body. While planning to safely assist this client, the PN knows that the center of gravity for the elderly client is in which area of the body?

Upper torso.

Feet.

Upper extremities.

Head.

Answer and Explanation

The Correct Answer is A

A. The upper torso is where the center of gravity shifts in elderly adults. As people age, their center of gravity moves higher due to changes in body composition and muscle strength, which can affect balance.
B. The feet are the base of support, not the center of gravity. The center of gravity is located higher up in the body.
C. The upper extremities do not represent the center of gravity. The shift in the center of gravity affects overall balance and stability.
D. The head does not represent the center of gravity; it is primarily located in the upper torso. The head's position influences balance but is not the center of gravity.

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Correct Answer is A

Explanation

A. Reporting any foot injury or sore that does not readily heal is the most crucial instruction for minimizing long-term complications in diabetes management. Poor circulation and neuropathy in diabetic patients can lead to serious complications from minor foot injuries, so prompt medical evaluation is essential for preventing severe outcomes.
B. Drying feet thoroughly between toes is important for preventing fungal infections, but it is a standard part of foot care rather than a primary measure for preventing long-term complications like ulcers or infections.
C. Ensuring that shoe size fits to minimize rubbing and blisters is important for foot health, but it is not as critical as promptly addressing any injuries or sores that may arise.
D. Monitoring fingerstick glucose daily for tight control is necessary for diabetes management but does not directly address foot care issues. It is important for overall disease management but not specifically for immediate foot care concerns.

A. Move away from the overbed table. B. Pull glove down, keeping inside out. C. Loosen the glove from the fingers. D. Raise the hands above waist level.

Correct Answer is B

Explanation

A. Move away from the overbed table: This action can be done after the gloves are completely removed and disposed of. Moving away too early increases the risk of bumping into something and contaminating the gloves.
B. Sterile gloves are contaminated on the outside after performing a procedure like a dressing change. Pulling the glove down and everting it (turning it inside out) confines the contamination to the inside of the glove, reducing the risk of transferring germs to the hands or surrounding surfaces. This maintains a sterile field and minimizes the risk of healthcare-associated infections (HAIs).
C. Loosen the glove from the fingers: This might be the initial step while grasping the glove for removal, but the key is to maintain aseptic technique by keeping the outside of the glove contained throughout removal.
D. Raise the hands above waist level: Raising hands above the waist level increases the risk of contaminating the sterile field or nearby surfaces if the glove integrity is compromised.

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Naxlex Comprehensive Predictor Exams

Which foot care instruction is most important for the practical nurse (PN) to reinforce that minimizes a long-term complication for a client who is newly diagnosed with type 2 diabetes mellitus (DM)?

Correct Answer is A

Explanation

As seen in the picture, the practical nurse (PN) begins to remove a pair of sterile gloves after changing a client's dressing. Which action should the PN take next?

Correct Answer is B

Explanation

A client with acute kidney injury (AKI) is admitted with an elevated heart rate and an elevated blood pressure. Which intervention should the practical nurse (PN) implement?

Exhibits The practical nurse (PN) is preparing to change the turban dressing. For each intervention, click to indicate whether it is indicated or not indicated for the dressing change. Each row must have one

A client with schizophrenia reports auditory hallucinations when admitted to the hospital. Which question is most important for the practical nurse (PN) to include in the assessment of this client?

The practical nurse (PN) notes that a client has truncal obesity, a moon face, and a buffalo hump. The PN should question the client about recent use of which type of medication?

A female client who has been taking oral contraceptives for the past year comes into the clinic for an annual exam. Which finding is most important for the practical nurse (PN) to report to the healthcare provider?

Before administering zolpidem at bedtime, which client assessment should the practical nurse (PN) complete?

Exhibits The practical nurse (PN) notifies the healthcare provider that the client continues to have signs of fluid volume deficit. The health care provider prescribes a continuous infusion of isotonic fluids. Which fluid(s) is/are classified as isotonic? Select all that apply.