, A fully oriented person is - CORRECT ANSWERS-Oriented to person, place, time, &
situation (oriented x4).
A person who is only oriented to one of these elements is at risk for injury. The PN
should provide instructions to the UAP about additional support to the client.
Orthostatic falls - CORRECT ANSWERS-The PN should obtain standing blood pressure
measurements to evaluate the orthostatic falls in the blood pressure that can cause
lightheaded or faint feeling when rising from a lying position.
Atopic dermatitis (Eczema) - CORRECT ANSWERS-Heat and humidity can cause
perspiration, which intensifies itching with atopic dermatitis (Eczema), so a client should
be encouraged to shower, using non perfume scented soaps.
Rotating injection sites - CORRECT ANSWERS-The PN should reteach the client to
rotate the noon site to a site other than the same one used for the AM dose.. Rotation is
recommended for the dose used during the one specific time of the day.
Pain scale - CORRECT ANSWERS-A rating scale should be used by the client to
evaluate current pain. The PN should also determine when the last pain medication was
administered and the effectiveness of that last dose.
Nystatin administration to an infant - CORRECT ANSWERS-Nystatin is the most
commonly used antifungal agent for oral candidiasis. When administering nystatin to an
infant, the medication needs to be applied topically by using a gloved finger to rub the
suspension over the infected area.
How do you prevent tissue loss in a client with hyperemia? - CORRECT ANSWERS-
The presence of reactive hyperemia occurs from pressure causing dilation of superficial
capillaries, and resolves without tissue loss if the pressure if relieved. The UAP should
be instructed in the need to turn the client every 2 hours.
PNs role during a fire alarm - CORRECT ANSWERS-The PN has the expertise to
determine how to safely transport and evacuate residents with varying medical
problems during a fire alarm.
Intention of droplet precaution - CORRECT ANSWERS-Droplet precautions are
intended to prevent transmission of pathogens spread through close respiratory or
mucous membrane contact with respiratory secretions and include keeping the door to
the client's room closed.
How should the PN respond to an RN who requested the PN to administer unlabeled
medication that the PN did not draw? - CORRECT ANSWERS-The PN can respond in
an assertive manner by refusing to administer the medication but offering to assist the
situation (oriented x4).
A person who is only oriented to one of these elements is at risk for injury. The PN
should provide instructions to the UAP about additional support to the client.
Orthostatic falls - CORRECT ANSWERS-The PN should obtain standing blood pressure
measurements to evaluate the orthostatic falls in the blood pressure that can cause
lightheaded or faint feeling when rising from a lying position.
Atopic dermatitis (Eczema) - CORRECT ANSWERS-Heat and humidity can cause
perspiration, which intensifies itching with atopic dermatitis (Eczema), so a client should
be encouraged to shower, using non perfume scented soaps.
Rotating injection sites - CORRECT ANSWERS-The PN should reteach the client to
rotate the noon site to a site other than the same one used for the AM dose.. Rotation is
recommended for the dose used during the one specific time of the day.
Pain scale - CORRECT ANSWERS-A rating scale should be used by the client to
evaluate current pain. The PN should also determine when the last pain medication was
administered and the effectiveness of that last dose.
Nystatin administration to an infant - CORRECT ANSWERS-Nystatin is the most
commonly used antifungal agent for oral candidiasis. When administering nystatin to an
infant, the medication needs to be applied topically by using a gloved finger to rub the
suspension over the infected area.
How do you prevent tissue loss in a client with hyperemia? - CORRECT ANSWERS-
The presence of reactive hyperemia occurs from pressure causing dilation of superficial
capillaries, and resolves without tissue loss if the pressure if relieved. The UAP should
be instructed in the need to turn the client every 2 hours.
PNs role during a fire alarm - CORRECT ANSWERS-The PN has the expertise to
determine how to safely transport and evacuate residents with varying medical
problems during a fire alarm.
Intention of droplet precaution - CORRECT ANSWERS-Droplet precautions are
intended to prevent transmission of pathogens spread through close respiratory or
mucous membrane contact with respiratory secretions and include keeping the door to
the client's room closed.
How should the PN respond to an RN who requested the PN to administer unlabeled
medication that the PN did not draw? - CORRECT ANSWERS-The PN can respond in
an assertive manner by refusing to administer the medication but offering to assist the
