Term
| A client whose diet is low in fiber is at risk for which condition? |
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Definition
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Term
| A male Native American client with tuberculosis is visiting a health care clinic for follow-up treatment. During the interview, the practical nurse (PN) notices that the client keeps his eyes on the floor and does not make eye contact. How should the PN interpret this client's behavior? |
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Definition
| His culture finds sustained eye contact rude or disrespectful |
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Term
| An older male client who is sedentary reports not having a formed bowel movement in four days and tells the practical nurse (PN) that he feels rectal pressure and has a constant headache. The PN determines the client is having frequent small, liquid stools. Which nursing action should the PN take first? |
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Definition
| Digitally assess for impacted stool |
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Term
| What position should the practical nurse (PN) place a client in who is receiving an enteral tube feeding? |
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Definition
| Supine with the head of the bed elevated 30 to 45 degrees |
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Term
| In planning care for an older client on bed rest, which intervention should the practical nurse include in the prevention of pressure ulcers? |
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Definition
| Elevate the head of the bed less than 30 degrees |
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Term
| Following a cholecystectomy, a client asks the practical nurse (PN) about dietary restrictions that may need to be followed. Which diet should the PN recommend? |
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Definition
| A well-balanced diet with no other restrictions |
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Term
| A client's indwelling urinary catheter is removed at 9:30 AM. The practical nurse (PN) assesses the client every 2 hours for the desire to void. Which documented assessment is the earliest time requiring further intervention by the PN? |
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Definition
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Term
| The healthcare provider prescribes a cleansing enema for an adult prior to bowel surgery. Which interventions should the practical nurse implement to ensure adequate bowel cleansing? (Select all that apply.) |
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Definition
1.Place the client on left side in Sims' position.
2.Instill 500 ml to 1,000 ml fluids slowly |
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Term
| Which action should the practical nurse (PN) implement when supporting an older client who is afraid of dying? Which action should the practical nurse (PN) implement when supporting an older client who is afraid of dying? |
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Definition
| Use open-ended questions to encourage the client to share feelings |
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Term
| Which intervention provides confirmation of nasogastric tube (NGT) placement before NGT feedings are started? |
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Definition
| Flat plate xray of the abdomen |
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Term
An older client who has been on bed rest is not eating well and is exhibiting abdominal distension, cramping, and is passing small amounts of liquid stool. Which prescribed action is most important for the practical nurse (PN) to implement?
An older client who has been on bed rest is not eating well and is exhibiting abdominal distension, cramping, and is passing small amounts of liquid stool. Which prescribed action is most important for the practical nurse (PN) to implement? |
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Definition
| Digitally remove a fecal impaction |
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Term
| Which growth and developmental characteristic should the practical nurse (PN) consider when discussing spirituality with an adolescent client? |
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Definition
| Questions religious practices and values |
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Term
| Which action should the practical nurse (PN) follow when applying an elasticized bandage to a client's leg? |
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Definition
| Overlap turns of the bandage equally |
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Term
| While taking an adult's vital signs, the practical nurse (PN) notes an irregular radial pulse. What action should the PN implement to obtain the most accurate assessment? |
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Definition
| Perform an apical-radial pulse assessment with another nurse |
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Term
| The practical nurse (PN) is providing wound care for a client with a stage III pressure ulcer on the left heel. To achieve the goal, "An increase in granulation tissue will develop within 2 weeks," which intervention should the PN implement? |
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Definition
| Irrigate wound with sterile normal saline |
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Term
| An older male client who is incontinent receives a prescription for a condom (external) catheter. Which steps should the practical nurse implement when applying the external catheter? (Select all that apply.) |
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Definition
1.Wrap the adhesive strip in a spiral around the penis
2.Apply skin prep to the penile shaft and allow to dry
3.Leave 1 to 2 inches between the tip of the penis and condom catheter |
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