A client who is experiencing paralysis of the left arm curses at the practical nurse (PN) and throws a hairbrush against the wall using the right arm. How should the PN respond?

Acknowledge the client's anger and offer to listen.

Play some soft music to help relax the client.

Initiate deep breathing exercises to soothe the client.

Offer to return later when the client is calmer.

Answer and Explanation

The Correct Answer is A

A. Acknowledging the client's anger and offering to listen validates their feelings and provides an opportunity for the client to express their emotions. This approach can help de-escalate the situation and address the underlying frustrations related to their condition.
B. Playing soft music might be soothing but does not directly address the client's expressed anger or the immediate situation. It is not as effective as acknowledging and listening to the client's concerns.
C. Initiating deep breathing exercises might be helpful but is less effective than directly acknowledging the client's anger and providing a space for them to talk about their feelings.
D. Offering to return later may avoid the immediate conflict but does not address the client’s current emotional state or provide support. It is better to engage with the client in the moment to manage their anger and offer support.

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Correct Answer is B

Explanation

A. A warm sleeping environment may exacerbate pruritus by increasing skin dryness and irritation. Cool, comfortable environments are generally better for clients with pruritus.
B. Keeping fingernails trimmed short helps prevent skin damage and infection caused by scratching. This is a practical and effective measure to manage pruritus.
C. Discouraging the use of skin lubricants is not advisable as they can help soothe and moisturize dry, itchy skin. Emollients and moisturizers are often recommended to manage pruritus.
D. Advising against any type of tub bath is not necessary. Instead, the use of lukewarm baths with added colloidal oatmeal or other soothing agents can help reduce pruritus.

A. Explain that the form identifies his personal health care wishes for any future event. B. Acknowledge the client's concerns and notify the healthcare provider of the client's wishes. C. Ask a family member to describe the client's stated wishes regarding end-of-life care. D. Document his refusal in his electronic medical record using his exact words.

Correct Answer is A

Explanation

A. Explaining that the advanced directives form helps identify personal health care wishes for any future health event is crucial because it clarifies the importance of the form in planning for future health care decisions, even if the client is not currently ill.
B. Acknowledging the client’s concerns and notifying the healthcare provider is less immediate and does not directly address the client's understanding of the advanced directives form.
C. Asking a family member about the client's wishes is unnecessary since the client has communicated his own wishes and concerns, and the focus should be on informing the client about the form.
D. Documenting the client’s refusal is important but secondary to educating the client on the purpose and importance of advanced directives.

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A client who is experiencing paralysis of the left arm curses at the practical nurse (PN) and throws a hairbrush against the wall using the right arm. How should the PN respond?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which intervention should the practical nurse (PN) reinforce for a client with pruritis?

Correct Answer is B

Explanation

Correct Answer is A

Explanation

In administering nystatin suspension to the gums of an infant with a candida infection, which approach should the practical nurse (PN) use?

The mother of a young child with eczema asks about the type of clothing that is best for her child's comfort. Which choice should the practical nurse (PN) recommend?

A client who had a knee replacement surgery receives a prescription for enoxaparin 30 mg subcutaneously every 12 hours for 10 days. The medication is available in 30 mg per 0.3 mL prefilled syringes. How many mL should the practical nurse (PN) administer each day? (Enter numerical value only.)

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The practical nurse (PN) is assisting the recreational director of a long-term care facility plan outdoor activities for the wheelchair-bound older residents who are mentally alert. Which activity meets the physical and social needs of these residents?

The practical nurse (PN) is documenting the insertion of a urinary catheter for a female client with urinary retention. What information should the PN include during the electronic documentation of the procedure? Select all that apply.

The practical nurse (PN) is turning a dependent bedridden client without assistance. Which action will best ensure the client's safety?

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