A client at 39 weeks gestation is admitted in early labor. During the focused assessment, the practical nurse (PN) reviews the obstetrical history of the client who states that she has been pregnant five times but has only two living children, both of whom were full-term. The other three pregnancies were miscarriages during the first trimester. Which parity should the PN document for the term, premature, abortion, and living children (TPAL) for this client?

Term 2, Premature 0, Abortion 3, Living 2.

Term 6, Premature 3, Abortion 3, Living 2.

Term 2, Premature 1, Abortion 0, Living 3.

Term 3, Premature 0, Abortion 3, Living 2.

Answer and Explanation

The Correct Answer is A

TPAL stands for Term, Premature, Abortion, and Living children, and it is used to document a client's obstetrical history.

In this case, the client has had a total of 5 pregnancies:

Two pregnancies resulted in full-term (term) births, so the Term value is 2.
Three pregnancies resulted in miscarriages during the first trimester (abortion), so the Abortion value is 3.
The client has two living children, so the Living value is 2.
There is no mention of any premature births, so the Premature value is 0.

Therefore, the appropriate documentation for this client's TPAL is Term 2, Premature 0, Abortion 3, and Living 2.

Nursing Test Bank

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Correct Answer is D

Explanation

When providing instructions to a client with a below-the-knee cast for a compound fracture of the left ankle, it is important to prioritize their safety and proper care of the cast. The instruction to never scratch under the cast is crucial for preventing complications and maintaining the integrity of the cast.

A. Tell the pharmacy to send an accurate child's dosage. B. Ask another nurse if adult dosages are ever given to children. C. Call the healthcare provider and clarify the prescription. D. Request verification of the prescription by the charge nurse. E. Request verification of the prescription by the charge nurse.

Correct Answer is C

Explanation

This is the action that the PN should take if they believe that a prescription for a child is incorrect because the dosage prescribed is the usual adult dosage. Calling the healthcare provider and clarifying the prescription is the safest and most eﬀective way to prevent medication errors and ensure the child's safety. The PN should not administer the medication until they are sure that it is correct and appropriate for the child.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with a compound fracture of the left ankle is being discharged with a below-the-knee cast. Which instruction should the practical nurse (PN) provide to the client prior to discharge?

Correct Answer is D

Explanation

The practical nurse (PN) believes that a prescription for a child is incorrect because the dosage prescribed is the usual adult dosage. Which action should the PN take?

Correct Answer is C

Explanation

Prior to administering pain medication to an adult postoperative client, what information should the practical nurse (PN) obtain? (Select all that apply.)

While caring for a client with Guillain-Barre syndrome, which finding should the practical nurse (PN) report to the charge nurse?

The practical nurse (PN) is assisting with the plan of care for a client who is experiencing torticollis from a traumatic injury sustained during a football game. The client received a prescription for tramadol. Which intervention should the PN include in the client's plan of care?

The practical nurse (PN) is preparing a client for discharge who receives a prescription for oral prednisone to treat a severe allergic reaction. Which teaching about medication administration should the PN reinforce?

The practical nurse (PN) finds a postoperative client lying in bed with an unsecured surgical dressing as seen in the picture. After reinforcing the dressing, which follow-up assessment is most important for the PN to implement?

Exhibits here Review H and P and nurse's notes. What other assessment techniques can the nurse use to identify the potential source of the client's new-onset confusion and decreased appetite? Select all that apply.

Which statement by a mature adult client with advanced prostate cancer best indicates that he has reached a level of acceptance of his prognosis?

The practical nurse (PN) is assessing an older client with left-sided heart failure (HF). What intervention is most important for the PN to implement?