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?

Did the child perform a fingerstick?

How much did the child exercise today?

When did the child last urinate?

Has the child eaten recently?

Answer and Explanation

The Correct Answer is D

Has the child eaten recently? This is the correct and most important question to ask before administering insulin. The timing and content of the child's recent meals will directly impact their blood sugar levels and help determine the appropriate insulin dose. Insulin is typically administered in correlation with meals to maintain blood sugar within a target range and prevent hypo- or hyperglycemia.

A. Did the child perform a fingerstick? While checking the child's blood glucose level is an important part of diabetes management, it is not the most crucial piece of information to gather before administering insulin. The PN should prioritize knowing whether the child has eaten recently, as insulin administration should be coordinated with meals to prevent hypoglycemia or hyperglycemia.

B. How much did the child exercise today? Physical activity can affect blood sugar levels, but it is not the most critical information to obtain before administering insulin. The PN should focus on the child's food intake because insulin doses need to be adjusted accordingly to prevent fluctuations in blood sugar levels.

C. When did the child last urinate? While monitoring urinary patterns is important in assessing hydration and kidney function, it is not directly related to determining the appropriate insulin dose. The PN should prioritize gathering information about the child's recent food intake, as insulin administration needs to be coordinated with meals.

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Correct Answer is B

Explanation

Antiplatelet medications, such as aspirin or clopidogrel, are prescribed to prevent the formation of blood clots by inhibiting platelet aggregation. These medications can increase the risk of bleeding or prolonged bleeding time. Therefore, when removing the saline lock, applying pressure over the site for several minutes helps to minimize the risk of bleeding and promote hemostasis.
A. Leaving the saline lock in place and notifying the charge nurse may not be necessary unless there are specific concerns or complications related to the client's condition.
C. Encouraging the client to drink additional oral fluids is not directly related to the discontinuation of the saline lock and the potential risk of bleeding associated with antiplatelet medication.
D. Preparing a warm pack to apply after removing the lock is not necessary for this situation. Warm packs are typically used for comfort or to promote circulation, but they are not directly related to the risk of bleeding associated with antiplatelet medication.

A. Report any drainage observed around the GT insertion site. B. Use plenty of pillows to position the client on the side after bathing. C. Keep the head of the bed raised while the tube feeding is infusing. D. Raise the entire bed while bathing the client to reduce back strain.

Correct Answer is C

Explanation

A. Reporting any drainage observed around the gastrostomy tube insertion site is important for monitoring potential infection or complications; however, it is not the most immediate concern during a total bed bath.
B. While using plenty of pillows to position the client on the side after bathing is important for comfort and skin integrity, it does not address the safety of the feeding during the bath.
C. Keeping the head of the bed raised while the tube feeding is infusing is the most critical instruction. This position helps prevent aspiration and ensures that the feeding is administered safely while maintaining the client’s airway during the bathing process.
D. Raising the entire bed while bathing the client is helpful for the caregiver's ergonomics but does not take precedence over ensuring the client’s safety regarding the gastrostomy tube feeding.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

In preparing to discontinue a client's saline lock, the practical nurse (PN) notes that the client is receiving an antiplatelet medication. Which action should the PN implement?

Correct Answer is B

Explanation

The practical nurse (PN) is providing instructions to the unlicensed assistive personnel (UAP) preparing to give a total bed bath to an immobile client who has continuous feeding via a gastrostomy tube (GT). Which instruction is most important for the PN to emphasize?

Correct Answer is C

Explanation

The practical nurse (PN) is providing care for a client who is receiving an aminoglycoside to treat a bacterial infection. To assess for signs of ototoxicity, which action should the PN take?

A male client attends a community support program for mentally impaired and chemical-abusing clients. The client tells the practical nurse (PN) that his drugs of choice are cocaine and heroin. What is the greatest health risk for this client?

The practical nurse (PN) is caring for a client with psychosis who demonstrates an inability to communicate effectively. Which method should the PN use to interact with the client?

A client with a compound fracture of the left ankle is being discharged with a below-the-knee cast. Which instruction should the practical nurse (PN) provide to the client prior to discharge?

A client whose first child was delivered by cesarean section is 20 weeks pregnant with her second child and wishes to have a vaginal birth after cesarean (VBAC). What information is most important for the practical nurse (PN) to obtain?

Two weeks after cast application, a client with a fractured right arm returns to the clinic for evaluation. The client seems upset and tells the practical nurse (PN) that the healthcare provider said a callus has formed on the bone. Which action should the PN take?

On the first day after a cesarean section, a client who is a primipara is being assisted to the bathroom for the first time. The client experiences a sudden gush of vaginal blood and notices that several blood clots are in the toilet. Which action should the practical nurse (PN) take?