A client on the mental health unit has been scowling and rapidly pacing up and down the hall for several minutes. Which behaviors are most important for the practical nurse (PN) to monitor?

Decreased activity level and change in aﬀect.

Periodic sighing and shaking the head.

Repeated requests for attention from the nurse.

Argumentativeness and use of profanity.

Answer and Explanation

The Correct Answer is D

The most important behaviors for the practical nurse (PN) to monitor in this situation are argumentativeness and use of profanity. These behaviors may indicate that the client is becoming agitated and may pose a risk to themselves or others. The PN should closely monitor the client's behavior and take appropriate action to ensure the safety of the client and others on the unit. The other behaviors listed may also be important to monitor, but argumentativeness and use of profanity are the most important in this situation

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Correct Answer is A

Explanation

This can oﬀer a safe place for her and her unborn child. The shelter can also provide resources for counseling and legal assistance if needed.

The safety plan and restraining order are important measures, but the priority should be to ensure the client's immediate safety.

The visit summary documenting the report of abuse is also important, but it should not be the only information provided to the client.

A. Maternal serum alpha-feto protein (MSAFP). B. Repeat indirect Coombs' test. C. Glucose tolerance test (GTT). D. Group B Streptococcus culture.

Correct Answer is A

Explanation

The screening test that should be scheduled for a client who is gravida 4 para 3 at 16-weeks gestation is **Maternal serum alpha-feto protein (MSAFP)**. Second trimester prenatal screening may include several blood tests, called multiple markers. These markers provide information about a woman's risk of having a baby with certain genetic conditions or birth defects. Screening is usually done by taking a sample of the mother's blood between the 15th and 20th weeks of pregnancy (16th to 18th is ideal)².

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A client on the mental health unit has been scowling and rapidly pacing up and down the hall for several minutes. Which behaviors are most important for the practical nurse (PN) to monitor?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

At a prenatal visit, a primigravida client confides to the practical nurse (PN) that her partner is abusive. Which information should the PN provide?

Correct Answer is A

Explanation

Following the prenatal clinic's screening protocol, the practical nurse (PN) is preparing laboratory prescriptions for clients who are scheduled to be seen today. Which screening test should be scheduled for a client who is gravida 4 para 3 at 16-weeks gestation?

Correct Answer is A

Explanation

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?

Which information is most important for the practical nurse (PN) to relay to the registered nurse (RN) concerning a 24-hour-old infant?

The practical nurse (PN) notes several nutritional goals in a standardized plan of care used in the antepartum clinic. Which client goal takes priority?

When preparing to assist in a scoliosis screening clinic, the practical nurse (PN) should identify which age group will be included in the examinations?

The practical nurse is evaluating a male client with paranoia. Which behavior can this client be expected to exhibit?

A normal newborn is admited to the nursery and receives an injection of Phytonadione. The father is watching the nurse administer the injection and asks the practical nurse (PN), "Will my baby get another injection before we can go home?" Which response is best for the PN to provide?

The father of a newborn asks the practical nurse (PN) why an injection is being given to his baby. Which response by the PN best explains the purpose of administering Phyto menadione injectable to newborns?