The healthcare provider informs an 18-year-old male client that he has Hodgkin's disease. When the practical nurse (PN) enters the room, the client shouts, "Get out of here! I don't want to see anyone! I just want to die!" Which initial response should the PN make?

Can I call your parents for you? I know that you are feeling bad right now.

Would you like me to call your friends to be with you while you're dealing with this news?

Would you like me to call your chaplain?

Tell me about what the healthcare provider said.

Answer and Explanation

The Correct Answer is D

The PN should acknowledge the client's emotional state and allow him to express his feelings while also obtaining more information about the situation. By asking the client to share what he was told by the healthcare provider, the PN can gain a better understanding of the client's knowledge of the disease and provide appropriate education and support. Options A, B, and C are incorrect because they do not address the client's emotional state or provide helpful information to the PN in this situation.

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Correct Answer is B

Explanation

The priority action for the practical nurse (PN) to take while 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 is to remove clothing and cover the burned area with a cool damp cloth. This will help to cool the burn and reduce pain.

Anticipating rehydration of 1000 mL/6 hr. with normal saline (Option A) is an important intervention for burn patients, but it is not the first priority. Completely ﬂushing the burned area with water or sterile saline (Option C) may be appropriate in some cases, but it is not the first intervention that should be implemented. Collecting data such as vital signs, blood gases, height and weight (Option D) is also important, but it is not the first priority.

A. Weight loss of 4 ounces since birth. B. Respiratory rate of 55 breaths/minute. C. Axillary temperature of 97.6° F (36.4° C). D. Heart rate of 100 beats/minute.

Correct Answer is D

Explanation

The newborn assessment finding that the practical nurse (PN) should report to the charge nurse immediately for a 24-hour-old infant is a heart rate of 100 beats/minute. The normal heart rate for a newborn is between 120-160 beats/minute. A heart rate of 100 beats/minute is below the normal range and may indicate a problem such as hypothermia or an infection. The PN should report this finding to the charge nurse immediately so that appropriate action can be taken to address the issue. The other assessment findings listed may also be important to monitor, but a heart rate of 100 beats/minute is the most urgent and requires immediate attention.

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The healthcare provider informs an 18-year-old male client that he has Hodgkin's disease. When the practical nurse (PN) enters the room, the client shouts, "Get out of here! I don't want to see anyone! I just want to die!" Which initial response should the PN make?

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

Which newborn assessment finding of 24-hour-old infant should the practical nurse (PN) report to the charge nurse immediately?

Correct Answer is D

Explanation

A mother calls the clinic to report that her child has just swallowed "poison" and is vomiting. In preparing to instruct the mother about the necessary action to take, which substance should the practical nurse (PN) consider to be the least traumatic to the esophagus when the child vomits?

The practical nurse (PN) is monitoring a client who was admitted for induction of labor. As the client's labor progresses to the second stage, the fetal heart rate falls to 100 beats/minute following each contraction. Which intervention should the PN implement first?

The practical nurse (PN) is assisting with the admission of a 12-month-old child with a history of frequent colds and growth failure. Testing is being planned for a possible diagnosis of cystic fibrosis (CF). Which information is most important for the PN to obtain?

A client at 8-weeks gestation presents to the office with a report of vaginal bleeding for the last 12 hours without cramping. Which action should the practical nurse (PN) take?

The practical nurse (PN) enters an examination room to gather routine health information for a teenage female client who is accompanied by her mother. Which action by the PN is likely to facilitate accurate responses to personal and social history questions?

The practical nurse (PN) is interviewing a middle-aged married male who is being treated for depression and reports an increasing lack of interest in sexual intimacy with his wife. Which information is most important for the PN to obtain?

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?

A 3-week-old infant is admited to the pediatric unit with vomiting and dehydration. The mother describes the infant as having projectile vomiting after eating. She also tells the practical nurse (PN) that the baby is always hungry. Which finding warrants immediate intervention by the PN?