A client who had orthopedic surgery three days ago verbalizes difficulty in sleeping. Which initial intervention is best for the practical nurse (PN) to implement?

Oﬀer the client a prescribed sleep medication.

Reposition the client and provide a back rub.

Administer an as needed (PRN) prescription for pain.

Provide a cup of hot chocolate at bedtime.

Answer and Explanation

The Correct Answer is B

This is the best initial intervention for the PN to implement because it promotes comfort, relaxation, and circulation for the client. A back rub can also reduce anxiety and muscle tension, which can interfere with sleep. The PN should use non-pharmacological methods to facilitate sleep before resorting to medication.

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Correct Answer is B

Explanation

A) Incorrect- While a second IV site might be considered if the first one is causing significant discomfort, it's not the initial intervention. The nurse should first address the immediate concern of pain.
B) Correct- Pain at the IV site during infusion might indicate infiltration or irritation. Stopping the infusion is the most immediate intervention to prevent further discomfort and potential complications like tissue damage.
C) Incorrect- While assessing for blood return is important to ensure proper IV placement, it's not the initial intervention for managing pain caused by the infusion.
D) Incorrect- Discontinuing the IV might be considered if the pain is severe and unmanageable, but the nurse should initially try to address the discomfort without removing the IV.

A. Explains the examination and asks the client to sign the consent form. B. Checks the medical record for the correct signed consent form prior to the examination. C. Explains to a family member and obtains their signature on the consent form. D. Asks if the client understands the exam and why the consent form must be signed. E. None F. None

Correct Answer is B

Explanation

A. Explaining the examination and asking the client to sign the consent form is not within the PN's scope of practice. It is the responsibility of the healthcare provider performing the procedure to explain the risks, benefits, and alternatives of the exam and to obtain informed consent from the client.

B. Checking the medical record for the correct signed consent form prior to the examination is an essential role for the practical nurse. It ensures that informed consent has been obtained and documented before proceeding with any invasive procedure, aligning with the PN's responsibility to verify necessary documentation.

C. Explaining to a family member and obtaining their signature on the consent form may be appropriate only if the client is unable to provide consent and has a legal representative. However, obtaining consent and explaining the procedure is still the responsibility of the healthcare provider, not the PN.

D. Asking if the client understands the exam and why the consent form must be signed is part of the PN's role in ensuring that the client is informed, but the PN cannot assume responsibility for explaining the procedure in detail. This should be done by the healthcare provider who will perform the exam.

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A client who had orthopedic surgery three days ago verbalizes difficulty in sleeping. Which initial intervention is best for the practical nurse (PN) to implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is B

Explanation

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