Complete Solutions
The practical nurse (PN) should place a client in which
position for a thoracentesis?
Sitting upright in a tripod position leaning on an overbed table.
Which intervention is most important for the practical nurse to
implement after giving a client an initial injection for the
screening for allergies?
Have the client remain on-site for 30 minutes after the
injections.
The practical nurse (PN) is reviewing the plan of care for a
client scheduled for a surgical amputation of the left lower leg.
Which nursing diagnosis should the PN use as the highest
priority for this client after the surgery?
Disturbed body image.
A practical nurse (PN) is coordinating the care of four clients on
an oncology unit. Which neutrophil count should the PN identify
as a risk for a life-threatening infection in one of the clients?
500/mm3.
,An adult client with otitis media has thick, yellow drainage from
the right ear canal. What additional findings should the practical
nurse (PN) expect to identify?
Pain relief after ear drainage begins.
The practical nurse (PN) is completing focused assessments
for four clients. Which client finding should be the PN's first
priority?
A client with asthma who is coughing and has distant
auscultated breath sound
The practical nurse (PN) is reviewing the admission
laboratory results for a client with cirrhosis of the liver.
Which finding should the practical nurse (PN) report to the
healthcare provider?
Elevated serum ammonia
Which client should the practical nurse question a PRN
prescription for sumatriptan (Imitrex) for migraine headaches?
50-year-old with Prinzmetal's angina.
A client's prescription for warfarin (Coumadin) therapy was
discontinued three weeks ago and returns to the clinic for
follow-up laboratory tests. Which results should indicate to
the practical nurse that the medication has been eliminated
from the body?
, International normalized ratio (INR) of 0.9
A male client with a crushing injury of the right lower leg from
a tractor accident complains of numbness and tingling in his
right leg and foot. The practical nurse (PN) determines the right
leg is pale and he has a weak pedal pulse. What action should
the PN take?
Notify the healthcare provider.
A client with type 2 diabetes mellitus (DM) presents in the clinic
with a leg laceration that has not healed in two weeks. Which
client data is most important for the practical nurse to collect?
Fingerstick glucose level
A client is receiving a unit of packed red blood cells (RBC's).
Which finding should the practical nurse (PN) report to the
healthcare provider?
Urticaria on the neck and chest.