Exhibits

Review H and P, nurse's notes, laboratory results, prescriptions, and imaging studies.

The child is showing only minor signs of impact from the submersion injury and will likely be discharged in the morning. The PN would like to reinforce education to the parents before discharge.

Which should the practical nurse (PN) reinforce in pre-discharge education for this child's parents? Select all that apply.

A warning about potential charges for child neglect

Information about pool safety

Instructions on how to access long-term home care

When to follow up with the child's pediatrician

Assessment of the parent's coping skills

Contact information for community resources

Answer and Explanation

Correct Answer : B,D,E,F

A. A warning about potential charges for child neglect
This is not appropriate in a pre-discharge education context. The focus should be on providing support and education to prevent future incidents and to help the parents understand the importance of supervision and safety.
B. Information about pool safety
Providing information about pool safety is essential to prevent future drowning incidents. Parents should be educated on supervision, barriers, and emergency response measures like CPR. This helps ensure the child's safety and reduces the risk of similar accidents.
C. Instructions on how to access long-term home care
Long-term home care instructions are unnecessary unless the child has specific ongoing medical needs resulting from the submersion. Since the child is showing only minor signs of impact, this education is not relevant.
D. When to follow up with the child's pediatrician
Clear instructions on when to follow up with the pediatrician ensure ongoing monitoring for any delayed effects of the submersion injury. This follow-up helps address any emerging health concerns and reassures the parents about their child's recovery.
E. Assessment of the parent's coping skills
Assessing the parents' coping skills is important to understand their emotional and psychological state post-incident. This can help identify any need for further support or counseling, ensuring the family is equipped to handle the situation.
F. Contact information for community resources
Providing contact information for community resources offers additional support to the parents, such as access to counseling, parenting classes, or safety courses. This reinforces the safety education provided and ensures the parents have resources to turn to if needed

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

A. Administering half of the missed dose is not generally recommended because it could lead to inconsistent drug levels and potential for breakthrough seizures. The standard practice is to follow the dosing schedule unless otherwise instructed by the healthcare provider.
B. Giving the missed dose with the next scheduled dose may lead to double dosing and could increase the risk of side effects or toxicity. The missed dose should be addressed as soon as possible but not in combination with the next dose.
C. Withholding the missed dose unless seizure activity occurs could put the client at risk for seizures. Anticonvulsants should be administered as per the prescribed schedule to maintain therapeutic drug levels and prevent seizures.
D. Administering the missed dose as soon as possible is the correct approach, following standard guidelines for missed medications. The missed dose should be given promptly unless it is close to the time of the next dose, in which case the next dose should be given as scheduled.

A. Plan to bring her back to the doctor's office for another urine test. B. Refill the antibiotic if symptoms persist after finishing the prescription. C. Make certain the young girl wipes from back to front after each void. D. Give the antibiotic until she no longer complains of burning.

Correct Answer is A

Explanation

A. Follow-up urine tests are essential to ensure that the UTI is fully resolved and to check for any potential recurrence or complications.
B. The full course of antibiotics must be completed even if symptoms improve. Refiling antibiotics should only be done based on a healthcare provider's recommendation, not symptom persistence.
C. For females, the correct wiping technique is from front to back to avoid introducing bacteria from the anus to the urethra, so this statement is incorrect.
D. Antibiotics should be taken for the entire prescribed duration to completely eradicate the infection, not just until symptoms improve.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

At 1200, the practical nurse (PN) learns that a client's 0900 dose of an anticonvulsant was not given. The next scheduled dose is at 2100. Which action should the PN take?

Correct Answer is D

Explanation

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?

Correct Answer is A

Explanation

Which assessment finding indicates to the practical nurse that a Venturi face mask is producing the desired effect?

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

When administering a saline enema, the practical nurse (PN) inserts the enema tubing three inches into the client's rectum, and elevates the container six inches above the client's body. When the clamp is opened, the solution does not infuse. Which action should the PN take?

The practical nurse (PN) is assigned to provide care for a client with rheumatoid arthritis who is preparing for discharge. While planning the client's care, the PN should identify which client goal as the most important?

Which statement by a mature adult client with advanced prostate cancer best indicates that he has reached a level of acceptance of his prognosis?

Exhibits Choose the most likely options for the information missing from the statement by selecting from the lists of options provided. When the laboratory results are available, the practical nurse (PN) would expect the child to have dropdown related to dropdown during the submersion.