An older adult client is admitted to the hospital from a skilled care facility with dehydration and malnourishment. The client is oriented times four, but is despondent and withdrawn. The practical nurse (PN) observes that the client has multiple bruises on both arms and has poor hygiene. Which action should the PN implement first?

Document suspected abuse using the physical findings as supporting evidence.

Establish trust with the client to ensure basic needs and open communications are met.

Medicate the client as prescribed to ensure adequate rest and interventional therapies.

Contact social services to investigate the personnel at the skilled care facility.

Answer and Explanation

The Correct Answer is B

A. While documentation is essential, establishing a trusting relationship with the client is a more immediate priority to address their basic needs and gather information.
B. Establishing trust with the client is crucial to ensure their basic needs are met and to create an environment where the client feels safe to communicate openly. This foundational step is necessary before other interventions can be effectively implemented.
C. Medicating the client as prescribed is important for their overall care but does not address the immediate need to build trust and assess their situation comprehensively.
D. Contacting social services is a necessary step if abuse is suspected, but it should follow the initial assessment and establishment of trust with the client to gather accurate information.

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Correct Answer is ["2"]

Explanation

The prescription is for 0.25 mg of digoxin, and each tablet contains 0.125 mg.

By dividing the prescribed dose (0.25 mg) by the strength of each tablet (0.125 mg), we get 2.

Answer = 2

A. Suggest a less strenuous activity to reduce the risk for dehydration. B. Reassure the parents that increased physical activity reduces the risk for diabetes. C. Recommend an increase in caloric intake to avoid excessive weight loss. D. Instruct the family about the need to adjust the insulin dose before exercise.

Correct Answer is B

Explanation

A. Suggesting a less strenuous activity is not necessary as physical activity is beneficial in managing pre-diabetes.
B. Reassuring the parents that increased physical activity reduces the risk for diabetes encourages healthy habits and supports the child’s desire to participate in sports.
C. Increasing caloric intake should be balanced and appropriate for the child's needs but isn't the primary focus in this context.
D. Adjusting insulin doses is important for children with diabetes, but the focus here is on encouraging physical activity to manage pre-diabetes, not insulin adjustments.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client receives a prescription for digoxin 0.25 mg by mouth. The medication is available in 0.125 mg tablets. How many tablets should the practical nurse (PN) administer? (Enter numeric value only. If rounding is required, round to the nearest tenth.)

Correct Answer is ["2"]

Explanation

The parents of a child with pre-diabetes report to the practical nurse (PN) that the child wants to join a soccer team. Which action is best for the PN to implement?

Correct Answer is B

Explanation

The spouse of a hospitalized client asks the practical nurse (PN) for acetaminophen for a tension headache. Which action should the PN take?

The practical nurse (PN) is reviewing home care instructions with the mother of a young girl with a urinary tract infection (UTI). Which information reported by the mother demonstrates understanding of home care for the child?

A client with Parkinson's disease is experiencing decreased postural reflexes, rigidity, retropulsive gait, and shuffling. Which intervention is most important for the practical nurse (PN) to implement?

In assessing a 2-year-old boy with croup, the practical nurse (PN) finds that he has become increasingly irritable and has developed tachypnea and resting stridor. Which intervention is best for the PN to implement?

In administering a nitroglycerin transdermal patch to a client with chronic angina pectoris, in which order should the practical nurse (PN) carry out the actions? (Arrange from first action on top to last on the bottom.)

The practical nurse (PN) administers an antibiotic to a client with a respiratory tract infection. To evaluate the medication's effectiveness, what laboratory values should the PN monitor? Select all that apply.