The unlicensed assistive personnel (UAP) is assisting the practical nurse (PN) with client care. Which client should the PN instruct the UAP to help first?

A frail older adult who needs help to ambulate to the dining room for a meal.

An older adult with a colostomy who needs the bag emptied.

An older adult who received a diuretic 30 minutes ago and is asking for a bedpan.

An older adult who needs mouth care for a dry mouth.

Answer and Explanation

The Correct Answer is C

A. A frail older adult who needs help to ambulate to the dining room for a meal:
This is important but not as urgent as toileting after a diuretic.

B. An older adult with a colostomy who needs the bag emptied:
This is routine and can wait a short time.

C. An older adult who received a diuretic 30 minutes ago and is asking for a bedpan:
Urgent to prevent incontinence and skin breakdown; needs immediate attention.

D. An older adult who needs mouth care for a dry mouth:
This is comfort care and can be delayed safely.

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Correct Answer is C

Explanation

A. Note that the stool color will be pink tinged:
Ferrous sulfate commonly causes dark green or black stools, not pink.

B. Drink milk with any gastrointestinal upset:
Milk decreases iron absorption and should be avoided with iron supplements.

C. Take with foods that are high in vitamin C:
Vitamin C enhances iron absorption and is recommended.

D. Use the medication for no more than 21 days:
Iron therapy typically continues for several months until stores are replenished, not just 21 days.

A. Don a pair of procedure gloves. B. Remove old dressing. C. Remove soiled gloves, perform handwashing, and don new procedure gloves. D. Apply prescribed medications to the wound.

Correct Answer is A,B,C,D

Explanation

A. Don a pair of procedure gloves: 1st - protects nurse from contamination when removing dressing.
B. Remove old dressing: 2nd - done with gloves on.
C. Remove soiled gloves, perform handwashing, and don new procedure gloves: 3rd - prevents cross-contamination before touching wound.
D. Apply prescribed medications to the wound: 4th - done with clean gloves after wound is exposed.

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The unlicensed assistive personnel (UAP) is assisting the practical nurse (PN) with client care. Which client should the PN instruct the UAP to help first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who is preparing for discharge to home receives a prescription for ferrous sulfate. Which information should the practical nurse (PN) reinforce with the client before discharge?

Correct Answer is C

Explanation

The practical nurse (PN) prepares to provide wound care. In which order should the PN implement these steps? (Place the first action on top and the last action on the bottom.)

Correct Answer is A,B,C,D

Explanation

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?

Epidural anesthesia is initiated for a primigravida at 40 weeks gestation who is in active labor. Which assessment has the greatest priority for the practical nurse to monitor during the administration of epidural anesthesia?

A new mother asks the practical nurse (PN), "How do I know that my baby is getting enough breast milk?" Which explanation should the PN provide?

A client with an infected spider bite is receiving IV antibiotics through a central venous catheter. The practical nurse (PN) observes that the client is weak, pale, and diaphoretic. Which additional finding should the PN report immediately to the charge nurse?

While changing the dressing of a client's abdominal incision, the practical nurse (PN) observes a large amount of purulent drainage on the dressing. Which data should the PN collect first?

A client receives a prescription for a medication to be administered three times a day before meals. The food trays arrive on the unit at 0900, 1200, and 1700. At what times should the practical nurse administer the medication? Select all that apply.

The practical nurse (PN) tells a pregnant client not to eat if she is in labor. Which is the most important reason for this nursing intervention?

While ambulating in the hallway following an appendectomy yesterday, a client complains of chest tightness and shortness of breath. Which action should the practical nurse (PN) implement first?