Immediately after log-rolling a client to a lateral position, which intervention should the practical nurse (PN) implement?

Raise the head of the bed 30 degrees

Measure blood pressure and pulse rate

Flex legs and place blanket between legs

Place pillows to maintain alignment.

Answer and Explanation

The Correct Answer is D

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Correct Answer is C

Explanation

Choice A rationale:

Referring the client to a social worker for support therapy may be premature at this stage. The client's initial reaction may be due to fear or anxiety about the diagnosis and self-administration of insulin. Pushing the client into therapy without assessing their readiness may not be appropriate.

Choice B rationale:

Encouraging the client to implement relaxation techniques assumes that the client is open to learning and just needs help with anxiety management. However, the client's refusal to have the nurse in the room suggests that they are not currently receptive to teaching. It's important to address the client's emotional state first.

Choice C rationale:

Leaving the client's room and returning later in the day is the most appropriate initial action. The client's loud refusal indicates a need for privacy and emotional space. By respecting the client's wishes and revisiting the teaching later, the nurse can establish trust and build a better rapport.

Choice D rationale:

Explaining that insulin is a life-saving drug is informative but may not be effective in this situation, as the client has already requested the nurse to leave the room. Providing information about the importance of insulin should come after establishing a therapeutic nurse-client relationship.

A. Systemic autoimmune vasculopathy. B. Autonomic neuropathy. C. Impaired neuron function. D. Muscle fiber degeneration.

Correct Answer is D

Explanation

Choice A rationale:

Systemic autoimmune vasculopathy is not a typical underlying disease pathology associated with a waddling gait and frequent falls in a 5-year-old child. This choice is not relevant to the symptoms described.

Choice B rationale:

Autonomic neuropathy may manifest with a variety of symptoms, including autonomic dysregulation, but it is not a common underlying pathology leading to a waddling gait and frequent falls in a child. This choice is not relevant to the symptoms described.

Choice C rationale:

Impaired neuron function can result in various neurological symptoms, but it does not specifically explain the waddling gait and frequent falls in a 5-year-old child. This choice is not relevant to the symptoms described.

Choice D rationale:

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Immediately after log-rolling a client to a lateral position, which intervention should the practical nurse (PN) implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When the nurse attempts to teach self-administration of insulin injections to a client who is newly diagnosed with type 1 diabetes mellitus (DM), the client tells the nurse in a loud voice to leave the room.Which action should the nurse take?

Correct Answer is C

Explanation

A 5-year-old child with a history of a waddling gait and frequent falls is brought into the hospital for diagnostic testing.When explaining the diagnostic testing to the parents, the nurse should provide information based on which understanding of the underlying disease pathology?

Correct Answer is D

Explanation

A nurse is establishing a therapeutic relationship with a client with anxiety disorder.What is the primary goal of this intervention?

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