The father of a newborn asks the practical nurse (PN) why an injection is being given to his baby. Which response by the PN best explains the purpose of administering Phyto menadione injectable to newborns?

Promotes maturation of the lungs.

Aids in digestion and milk absorption.

Prevents hemorrhagic disease.

Controls hyperbilirubinemia.

Answer and Explanation

The Correct Answer is C

Phyto menadione injectable, also known as vitamin K1, is commonly given to newborns to prevent hemorrhagic disease of the newborn (HDN), a bleeding disorder that can occur due to vitamin K deficiency in the first few days of life. Vitamin K is important for the production of clotting factors in the liver, and newborns are at risk of vitamin K deficiency because it does not cross the placenta well and their intestinal ﬂora is not yet established. The other options do not accurately describe the purpose of administering Phyto menadione injectable to newborns.

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Correct Answer is A

Explanation

Restlessness, confusion, and agitation in the evening are common symptoms of sundowning, which is a condition that aﬀects some older adults with dementia. Oﬀering to walk around the hallways with the client can provide a calming eﬀect and reduce the symptoms of sundowning.

Dimming the lights may actually increase confusion and agitation, and leaving the client alone may increase feelings of isolation and fear.

Measuring the client's vital signs may not be necessary unless there are specific medical concerns.

A. Have you experienced recent stresses? B. Have you experienced sleep changes? C. What foods have you been eating lately? D. Do you often feel sad?

Correct Answer is D

Explanation

Feeling sad or having a depressed mood is a common symptom of depression. Asking the client if they often feel sad can help the practical nurse (PN) assess for depression.

While recent stresses (A), sleep changes (B), and dietary habits (C) may also be relevant to the client's situation, asking if the client often feels sad is the most important question for the PN to ask in order to further assess for depression.

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The father of a newborn asks the practical nurse (PN) why an injection is being given to his baby. Which response by the PN best explains the purpose of administering Phyto menadione injectable to newborns?

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Correct Answer is A

Explanation

A client at the mental health center reports difficulty concentrating at work, feeling very tired during the day, and sleeping 4 to 5 hours at night. To further assess for depression, which question is most important for the practical nurse (PN) to ask?

Correct Answer is D

Explanation

The practical nurse (PN) is caring for a client who delivered 6 hours ago. Assessment findings reveal a boggy uterus that is displaced above and to the right of the umbilicus. Which action should the PN take?

The practical nurse (PN) is contributing to the plan of care for a toddler with failure to thrive due to inadequate caloric intake. Which observation should the PN monitor to best help develop interventions?

The practical nurse (PN) is caring for a client that has just arrived in the emergency department with 2nd degree thermal burns to the right thigh, lower leg and foot, and reports severe pain in the right leg. Which priority action should the PN take while caring for this patient?

The practical nurse (PN) is caring for a 4-year-old girl with a moderate developmental disability. Which is the primary goal of treatment for a child with a developmental disability?

A client who is multiparous at 36-weeks gestation is diagnosed with placenta previa. The practical nurse (PN) should monitor this client for which condition?

The practical nurse (PN) is caring for a toddler during a follow-up visit after corticosteroid treatment for minimal change nephrotic syndrome (MCNS). Which finding should the PN recognize as an early sign of relapse?

An older client is admitted to the psychiatric unit for assessment of a recent onset of dementia. The practical nurse (PN) notes that in the evening this client often becomes restless, confused, and agitated. Which intervention should the PN implement?

A male college student brings his roommate to the clinic because the roommate has been talking to someone who is not present. The client tells the practical nurse (PN) that the voices are saying, "Kill, kill." Which question should the PN ask the client next?