The practical nurse (PN) observes a client with the diagnosis of schizophrenia sitting all alone and talking quietly. Which action should the PN take?

A client has a prescription for NPH insulin 25 units before breakfast and insulin aspart before meals and hour of sleep per sliding scale. The sliding scale parameters are:

• O units for finger stick glucose less than 170 mg/dL;
• 5 units for finger stick glucose 171 to 219 mg/dL;
• 10 units for finger stick glucose 220 to 269 mg/dL;
• 15 units for finger stick glucose 270 to 300 mg/dL.
• Call healthcare provider for finger stick glucose greater than 300 mg/dL.

The client's 0730 finger stick glucose is 271 mg/dL.

What is the total amount of insulin this client should receive? (Enter numeric value only.)

The practical nurse (PN) plans to use distraction techniques while a client undergoes a brief painful procedure. Which action should the PN implement during the procedure?

The practical nurse (PN) is administering otic drops to an adult who has a ruptured eardrum. Which action should the PN implement?

The practical nurse (PN) hears an older adult resident of a long term care facility shout profanities at an unlicensed assistive personnel (UAP) who shouts back at the resident. Which is the first action the PN should take?

A client has partial thickness burns to both arms. After medicating the client with an opioid analgesic, the practical nurse (PN) changes the sterile dressings. Which action is most important for the PN to implement before applying silver sulfadiazine cream to the burn lesions?

The practical nurse (PN) finds a client who is assigned to another nurse bleeding from an IV site and the IV tubing and fluid are on the floor. The PN immediately applies a dressing to stop the bleeding. Which action should the PN take next?

A client with a gonorrhea infection receives a prescription for a single dose of ceftriaxone 250 mg IM. The medication is available in a 1 gram vial. The instructions for reconstitution state, "For IM use, add 2.1 mL sterile water for injection. Resulting solution provides an approximate concentration of 350 mg per mL." How many mL should the practical nurse (PN) administer? (Enter numerical value only. If rounding is required, round to the nearest tenth.)

During an interview, an older adult client answers some questions inappropriately. The practical nurse (PN) observes there is a hearing aid in one ear. Which intervention is most helpful in assisting the client to hear the PN's question?

The practical nurse (PN) is caring for an older client who was informed about a diagnosis of terminal cancer two days ago. Which intervention would be most helpful for the client's spouse at this time?

The practical nurse (PN) enters the room of an older adult client. In preparation for transporting the client to the day room, the unlicensed assistive personnel (UAP) has positioned the client in a wheelchair. Which action by the PN takes priority?