An older client is admitted to the psychiatric unit for assessment of a recent onset of dementia. The practical nurse (PN) notes that in the evening this client often becomes restless, confused, and agitated. Which intervention should the PN implement?

Delay administration of nighttime medications until after visitors have left.

Administer a prescribed PRN benzodiazepine at the onset of a confused state.

Make certain that the client's assigned room is close to the nurses' station.

Ask family members about how they dealt with the client in the evening.

Answer and Explanation

The Correct Answer is C

Restlessness, confusion, and agitation are common symptoms of dementia, particularly in the evening, a phenomenon known as sundowning. Therefore, the PN should implement interventions that can help to prevent or minimize these symptoms. Assigning the client to a room close to the nurses' station can help to provide constant observation and reassurance and can help to prevent the client from wandering or becoming disoriented.
A. Delaying administration of nighttime medications until after visitors have left may be appropriate, but it is not the first intervention to be implemented in this scenario.
B. Administering a prescribed PRN benzodiazepine at the onset of a confused state may be appropriate in some cases, but it should not be the first intervention to be implemented in this scenario.
D. Asking family members about how they dealt with the client in the evening may be helpful, but it is not the first intervention to be implemented in this scenario.

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Correct Answer is A

Explanation

Newborns have a stump of the umbilical cord attached to their belly button which eventually falls oﬀ within 1-2 weeks. During this time, it is important to keep the area clean and dry to prevent infection. The PN should instruct the parents to clean the area with water and a clean cloth or cotton swab, and then gently pat the area dry with a clean towel. The parents should also be advised to avoid using any harsh soaps, lotions, or alcohol on the cord stump, as this can cause irritation or delay the healing process. It is not recommended to cover the cord stump with a sterile dressing unless specifically instructed to do so by a healthcare provider.

A. Uses the pregnancy food pyramid when making meal choices. B. Recognizes the dangers of alcohol use during pregnancy. C. Achieves the desired weight gain for each trimester. D. Prepares a diet history for use in analyzing her own diet.

Correct Answer is B

Explanation

The priority goal for the practical nurse (PN) in the antepartum clinic is to ensure that the client recognizes the dangers of alcohol use during pregnancy. Alcohol consumption during pregnancy can lead to fetal alcohol syndrome and other developmental disorders. It is important for the client to understand the risks associated with alcohol use and to avoid it during pregnancy. The other goals are also important but recognizing the dangers of alcohol use takes priority.

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An older client is admitted to the psychiatric unit for assessment of a recent onset of dementia. The practical nurse (PN) notes that in the evening this client often becomes restless, confused, and agitated. Which intervention should the PN implement?

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Naxlex Comprehensive Predictor Exams

The practical nurse (PN) is giving new parents discharge instructions. Which instruction should the PN reinforce with the parents regarding care of their newborn's umbilical cord?

Correct Answer is A

Explanation

The practical nurse (PN) notes several nutritional goals in a standardized plan of care used in the antepartum clinic. Which client goal takes priority?

Correct Answer is B

Explanation

A male college student brings his roommate to the clinic because the roommate has been talking to someone who is not present. The client tells the practical nurse (PN) that the voices are saying, "Kill, kill." Which question should the PN ask the client next?

An older client is admitted to the psychiatric unit for assessment of a recent onset of dementia. The practical nurse (PN) notes that in the evening this client often becomes restless, confused, and agitated. Which intervention should the PN implement?

Following a hysterectomy, an older adult's complete metabolic panel findings indicate that her magnesium level is low. To help increase the client's magnesium level, the PN should suggest that the client increase her intake of which food?

The practical nurse (PN) is caring for a newborn whose mother has poorly controlled type 1 diabetes mellitus and observes the newborn is grunting with mild sternal retractions. The PN should recognize the newborn is exhibiting signs of which condition?

The practical nurse (PN) is preparing a client at 22-weeks gestation for an amniocentesis. Which instruction should the PN give to this client?

A 4-year-old girl is brought to the emergency room with a fractured arm. Which information should be a basis for the practical nurse (PN) to suspect child abuse?

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?

During a well-baby clinic visit, a mother tells the practical nurse (PN) that her 12-month-old infant is not yet eating solid foods and drinks whole milk from a bottle. Based on these assessment findings, this infant is at the greatest risk for developing which condition?