In implementing the plan of care, which data should the practical nurse (PN) obtain first for a client with a sleep pattern disturbance?

The client's current and previous sleep habits and cycles.

The client's evening meal and snacking habits at bedtime.

Symptoms that occur as the result of sleep disturbance.

Sleep routines that the client has thought about practicing.

Answer and Explanation

The Correct Answer is A

A. Understanding the client’s current and previous sleep habits and cycles is the most foundational step for assessing sleep disturbances. This information provides a baseline from which the PN can identify patterns and deviations in the client’s sleep behavior.
B. While evening meal and snacking habits can affect sleep, they are secondary to understanding the client’s overall sleep habits and cycles. These habits are part of a broader assessment but not the initial focus.
C. Identifying symptoms resulting from sleep disturbances is important but follows after understanding the client’s sleep history. Symptoms are a result of disturbances, and their identification is based on a foundational understanding of sleep patterns.
D. Exploring new sleep routines the client is considering is part of the intervention phase but comes after understanding current sleep patterns and disturbances. The initial focus should be on gathering comprehensive sleep history.

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Correct Answer is A

Explanation

A. Increased oxygen saturation indicates that the Venturi face mask is effectively delivering the specified concentration of oxygen. This is the primary goal of using a Venturi mask, which provides precise oxygen delivery to improve oxygen saturation levels.
B. Increased cough productivity is not a direct indicator of the effectiveness of a Venturi face mask. The mask's purpose is to deliver oxygen, not to alter cough patterns.
C. Decreased cough frequency is unrelated to the function of the Venturi face mask. The mask's effectiveness is measured by oxygen delivery rather than changes in cough frequency.
D. Decreased breath sounds are not a direct measure of the effectiveness of a Venturi face mask. Breath sounds could indicate other respiratory issues but do not specifically reflect the effectiveness of oxygen therapy.

A. Place the client in front of the nurse while both walk to the bathroom. B. Stand in front of the client and lead the client forward to the bathroom. C. Walk on the client's left side while assisting the client to the bathroom. D. Support the client on the right side while walking to the bathroom.

Correct Answer is C

Explanation

A. Placing the client in front of the nurse can be disorienting and unsafe, especially since the client has limited vision with the eye shield. The PN should be in a position to provide guidance and support.
B. Standing in front of the client while leading them could be confusing for the client, as they might not see where they are going. The PN should be positioned where they can offer clear support and direction.
C. Walking on the client’s left side is the best approach as it ensures that the PN is on the side of the unaffected eye. This position allows the PN to guide and support the client while the shielded eye is protected from potential hazards.
D. Supporting the client on the right side could interfere with the eye shield and the healing process. The PN should assist from the left side to avoid disturbing the protected eye and to provide better guidance.

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In implementing the plan of care, which data should the practical nurse (PN) obtain first for a client with a sleep pattern disturbance?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is A

Explanation

The practical nurse (PN) is assisting a client to the bathroom after a right cataract extraction. The client has an eye shield over the right eye. How should the PN assist the client during ambulation?

Correct Answer is C

Explanation

In administering a nitroglycerin transdermal patch to a client with chronic angina pectoris, in which order should the practical nurse (PN) carry out the actions? (Arrange from first action on top to last on the bottom.)

The practical nurse (PN) is assigning care for a group of clients on the urology medical unit. What client care interventions should the PN assign to the unlicensed assistive personnel (UAP)? Select all that apply.

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A client is voiding frequent small amounts 24-hours following the removal of an indwelling catheter, and a post-voided residual volume assessment is prescribed. Which explanation should the practical nurse (PN) provide to the client about why the procedure is necessary?

The practical nurse (PN) is documenting the insertion of a urinary catheter for a female client with urinary retention. What information should the PN include during the electronic documentation of the procedure? Select all that apply.

In providing care for a client with a nasogastric tube (NGT) connected to intermittent suction, which task can be assigned to the unlicensed assistive personnel (UAP)?