An older postoperative client has the nursing problem, "Impaired mobility related to fear of falling." Which desired outcome best directs the practical nurse's (PN) actions for this client?

The client will use self-affirmation statements to decrease fear.

The client will ambulate with assistance for q4 hours.

The physical therapist will instruct the client in the use of a walker.

The PN will place a gait belt on the client prior to ambulation.

Answer and Explanation

The Correct Answer is B

While all of the options address the issue of impaired mobility related to fear of falling, the desired outcome of ambulating with assistance q4 hours is the most specific and measurable goal. This outcome focuses on promoting mobility and addressing the client's fear of falling by providing the necessary assistance during ambulation. It ensures that the client is engaging in regular activity and working towards regaining mobility.
The other options address different aspects of the nursing problem:

A. "The client will use self-affirmation statements to decrease fear" is a potential intervention that can be used to address the client's fear of falling, but it does not directly address the issue of impaired mobility.
C. "The physical therapist will instruct the client in the use of a walker" is an intervention that can be helpful in improving mobility, but it does not specify the frequency or timing of ambulation.
D. "The PN will place a gait belt on the client prior to ambulation" is a specific intervention that ensures the safety of the client during ambulation, but it does not address the frequency or timing of ambulation.

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Correct Answer is D

Explanation

Taking oral prednisone with food helps to minimize gastrointestinal side effects such as stomach irritation and upset. Food acts as a protective barrier for the stomach lining, reducing the risk of irritation caused by the medication. Additionally, taking prednisone with food can help improve its absorption and distribution in the body.

The other options mentioned are incorrect:

A- "Take on an empty stomach": This is incorrect because taking prednisone on an empty stomach can increase the risk of gastrointestinal side effects. It is generally recommended to take prednisone with food to minimize these side effects.

B- "Take before bedtime": This is incorrect as there is no specific timing requirement for taking prednisone before bedtime. The timing of prednisone administration should be based on the individual's needs and the instructions provided by the healthcare provider.

C- "Take only as needed": This is incorrect because prednisone is typically prescribed with specific dosing instructions. It is important for the client to follow the prescribed dosing schedule and not take it "as needed" unless instructed otherwise by the healthcare provider.

A. Did the child perform a fingerstick? B. How much did the child exercise today? C. When did the child last urinate? D. Has the child eaten recently?

Correct Answer is A

Explanation

A. Checking the child’s blood glucose level via fingerstick is the most important step before administering insulin to prevent hypoglycemia or ensure the appropriate dose.
B. Exercise affects blood sugar, but the immediate priority is verifying the blood glucose level.
C. Urination patterns can indicate hyperglycemia, but they are not the most critical factor before insulin administration.
D. Eating is important, but insulin dosing should be based on blood glucose readings and meal intake combined.

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An older postoperative client has the nursing problem, "Impaired mobility related to fear of falling." Which desired outcome best directs the practical nurse's (PN) actions for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The practical nurse (PN) is preparing a client for discharge who receives a prescription for oral prednisone to treat a severe allergic reaction. Which teaching about medication administration should the PN reinforce?

Correct Answer is D

Explanation

Before administering a scheduled dose of insulin to a 10-year-old child who is learning diabetic self-care, which information is most important for the practical nurse (PN) to ask the child?

Correct Answer is A

Explanation

Chest x-ray: Consolidation in the right lower lobe consistent with pneumonia Review H and P, nurse's notes, flow sheet, doctor's order, and Imaging studies. What statements indicate the client's confusion is resolving? Select all that apply.

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Which information should the practical nurse (PN) collect during the admission assessment of a terminally ill client to an acute care facility?

Ancient is scheduled for a thoracentesis that will be done at the bedside. What should the practical nurse (PN) prepare before the healthcare provider arrives to perform the procedure?

Prior to an invasive examination of a hospitalized client, a consent form should be obtained. Which action best describes the responsibility of the practical nurse (PN)?

A client who had orthopedic surgery three days ago verbalizes difficulty in sleeping. Which initial intervention is best for the practical nurse (PN) to implement?

The practical nurse (PN) is caring for a child who was admitted after experiencing a generalized tonic-clonic seizure. When witnessing the child begin the seizure, what should the PN implement immediately? (Select all that apply.)