A client who is primigravida at term comes to the prenatal clinic and tells the practical nurse (PN) that she is having contractions every 5 minutes. The PN monitors the client for one hour using an external fetal monitor, and determines that the client's contractions are 7 to 15 minutes apart, lasting 20 to 30 seconds, with mild intensity by palpation. Which action should the PN take?

Tell the client to go directly to the hospital for admission to labor and delivery for active labor.

Send the client home and instruct her to call the clinic when her contractions occur 5 minutes apart for one hour.

Direct the client to check into the hospital within the next hour for evaluation of possible urinary tract infection.

Send the client home and tell her to drink at least 1,000 mL of fluid each day to flush her bladder.

Answer and Explanation

The Correct Answer is B

A. The client's contractions are not regular or intense enough to indicate active labor, so immediate hospital admission is not necessary.
B. Instructing the client to call the clinic when her contractions occur 5 minutes apart for one hour ensures she is monitored for the progression of labor and can seek timely assistance when labor becomes more active.
C. While a urinary tract infection could cause contractions, the primary focus should be on monitoring labor progression, not diagnosing a UTI at this stage.
D. Hydration is important, but the primary instruction should relate to monitoring contraction patterns for signs of active labor.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}

Explanation

Applicable
Evaluating functional improvement assesses whether the additional physical and occupational therapy is effectively enhancing the client’s ability to perform activities of daily living and participate in community activities. This focuses on tangible outcomes of the therapy, such as improved mobility or independence. Measuring functional improvement helps to determine if the interventions are meeting their goals and positively impacting the client's physical abilities.

Psychological assessment
Not Applicable
While important, psychological assessment is not the primary focus when evaluating the specific outcomes of physical and occupational therapy. Psychological well-being might be a component of overall care but is not the immediate measure for the success of the physical therapies established. The main goal here is to assess the effectiveness of the physical and occupational therapy, which is more directly measured by functional and quality of life improvements.

Quality of life
Applicable
Assessing quality of life evaluates how well the client’s overall well-being is supported by the new care interventions, including their physical comfort, mental health, and ability to engage in daily activities. This broader measure considers whether the care provided enhances the client's satisfaction with their daily life and personal experiences, reflecting the success of the implemented therapies.

Financial security
Not Applicable
Financial security is not directly related to evaluating the outcomes of physical and occupational therapy interventions. It is important for overall care management but does not measure the effectiveness of specific therapies or the impact on the client’s physical functioning or quality of life. This factor is outside the scope of assessing the direct results of therapy and daily living support.

Cognitive status
Not Applicable
Cognitive status is not the main focus for evaluating the success of physical and occupational therapy. While cognitive status is relevant for overall care, the immediate goal of assessing the effectiveness of the physical therapies is to see improvements in functional abilities and quality of life. Cognitive assessments are important but not directly related to the specific goals of physical and occupational therapy outcomes

A. Extend progressive ambulation over one week. B. Notify the clinic if the child begins bedwetting. C. Restrict the child from playing on riding toys. D. Supervise toileting to prevent picking at sutures.

Correct Answer is C

Explanation

A. Extending progressive ambulation over one week is important but not the most critical instruction. Postoperative mobility is generally encouraged in a gradual manner, but it is not as urgent as managing specific activity restrictions.
B. Notifying the clinic if the child begins bedwetting is not typically a primary concern immediately following surgery for cryptorchidism. Bedwetting is not directly related to the surgical procedure or its common postoperative concerns.
C. Restricting the child from playing on riding toys is the most important instruction for preventing complications. Riding toys can be a safety risk due to potential trauma to the surgical site and could cause harm during the recovery period.
D. Supervising toileting to prevent picking at sutures is relevant but less critical compared to the need to restrict potentially harmful activities. While important, it is a secondary concern compared to overall activity restrictions.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Exhibits Drag from statement options to complete the sentence. To assess outcomes, the practical nurse (PN) should consider information reported by the client and caregiver and focus on evaluating the client's dropdown and dropdown

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}

Explanation

A 3-year-old male is being discharged after surgical correction of cryptorchidism. Which postoperative instruction is most important for the practical nurse (PN) to re-emphasize to the parents about the child's activities at home?

Correct Answer is C

Explanation

The practical nurse (PN) and unlicensed assistive personnel (UAP) enter a client's room and find the client lying on the bed. The PN determines that the client is unresponsive. Which instruction should the PN give the UAP first?

Exhibits What factors are important in determining level of hypoxemia that the child may have experienced during the submersion? Select all that apply.

A client is receiving an epidural anesthesia during labor. Which observation is the most important adverse effect that the practical nurse (PN) should assess for following the administration of the epidural?

Which foot care instruction is most important for the practical nurse (PN) to reinforce that minimizes a long-term complication for a client who is newly diagnosed with type 2 diabetes mellitus (DM)?

Exhibits The practical nurse (PN) performs a focused assessment and documents it in the computer. Select what items require immediate follow-up by the PN. Select all that apply.

The practical nurse (PN) is assigning care for a group of clients on the urology medical unit. What client care interventions should the PN assign to the unlicensed assistive personnel (UAP)? Select all that apply.