A client who is multiparous at 36-weeks gestation is diagnosed with placenta previa. The practical nurse (PN) should monitor this client for which condition?

Thrombosis

Hemorrhage

Edema

Pain

Answer and Explanation

The Correct Answer is B

Placenta previa is a condition in which the placenta partially or completely covers the cervix, which can lead to vaginal bleeding during pregnancy. In severe cases, this bleeding can be life-threatening and can lead to hemorrhage. Therefore, the PN should closely monitor the client for any signs of bleeding or hemorrhage, such as excessive vaginal bleeding, hypotension, tachycardia, or signs of shock. The PN should also ensure that the client receives appropriate medical interventions and that emergency measures are in place in case of sudden bleeding or hemorrhage.

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Correct Answer is A

Explanation

If the practical nurse (PN) is caring for a client who delivered 6 hours ago and assessment findings reveal a boggy uterus that is displaced above and to the right of the umbilicus, the PN should encourage the client to void. A full bladder can displace the uterus and prevent it from contracting properly, leading to a boggy uterus. Encouraging the client to void can help empty the bladder and allow the uterus to contract and return to its normal position. The other actions listed may also be appropriate in some situations, but encouraging voiding is the most appropriate action in this situation.

A. Explain the unit rules to ensure his safety. B. Gather required admission information. C. Have the client put personal items away. D. Sit and oﬀer to listen to the client's concerns.

Correct Answer is D

Explanation

The first intervention the PN should implement is to **sit and oﬀer to listen to the client's concerns**. It is important to approach the client in a calm and non-threatening manner and to establish a rapport with him. Oﬀering to listen to his concerns can help the client feel heard and understood, and can help build trust between the client and the PN.

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A client who is multiparous at 36-weeks gestation is diagnosed with placenta previa. The practical nurse (PN) should monitor this client for which condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The practical nurse (PN) is caring for a client who delivered 6 hours ago. Assessment findings reveal a boggy uterus that is displaced above and to the right of the umbilicus. Which action should the PN take?

Correct Answer is A

Explanation

A male client with paranoia has been admitted to the mental health unit, and upon arrival, he immediately goes to the corner of the room and sits quietly without communicating. In approaching the client, what intervention should the practical nurse (PN) implement first?

Correct Answer is D

Explanation

The practical nurse (PN) is discussing attention deficit hyperactivity disorder (ADHD) with the mother of a 7- year-old student newly diagnosed with the disorder. Which intervention should the PN suggest as most eﬀective in managing the symptoms of ADHD?

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A client with a major depressive disorder is admitted to the inpatient psychiatric unit. Which intervention should the practical nurse (PN) use to demonstrate support of the client?

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