The mother of a 3-year-old asks the practical nurse (PN) to clarify the healthcare provider's diagnosis of acute otitis media. Which is the most accurate explanation?

An infection of the middle ear.

A drainage out of the outer ear.

A defect of the inner ear.

An infection of the inner and outer ear.

Answer and Explanation

The Correct Answer is A

Explanation: Acute otitis media is a common childhood illness that refers to an infection of the middle ear. It occurs when the Eustachian tube, which connects the middle ear to the back of the throat, becomes blocked and ﬂuid accumulates in the middle ear. This ﬂuid provides a breeding ground for bacteria, leading to infection and inﬂammation. Symptoms of acute otitis media can include ear pain, fever, irritability, and difficulty hearing. It is important for the PN to provide accurate information to the mother and to explain the treatment plan, which may include antibiotics and pain relief measures, as prescribed by the healthcare provider.

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Correct Answer is C

Explanation

The practical nurse should report to the charge nurse that the client is near delivery, as the client's signs indicate that she is in the transition phase of labor and is likely to deliver soon. The PN should also assess the client's vital signs, fetal heart rate, and pain level, and prepare the delivery equipment.

The husband can be asked to provide emotional support to the client during labor.

The rapid response team may be called in case of a medical emergency, but this is not indicated based on the information given.

Checking the time, the last PRN narcotic analgesic was given is also not indicated at this point, as the client is close to delivery and may not have time for medication to take eﬀect.

A. Thrombosis B. Hemorrhage C. Edema D. Pain

Correct Answer is B

Explanation

Placenta previa is a condition in which the placenta partially or completely covers the cervix, which can lead to vaginal bleeding during pregnancy. In severe cases, this bleeding can be life-threatening and can lead to hemorrhage. Therefore, the PN should closely monitor the client for any signs of bleeding or hemorrhage, such as excessive vaginal bleeding, hypotension, tachycardia, or signs of shock. The PN should also ensure that the client receives appropriate medical interventions and that emergency measures are in place in case of sudden bleeding or hemorrhage.

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The mother of a 3-year-old asks the practical nurse (PN) to clarify the healthcare provider's diagnosis of acute otitis media. Which is the most accurate explanation?

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Naxlex Comprehensive Predictor Exams

A client who is a primigravida at 40 weeks gestation is contracting every 2 minutes and her cervix is 9 cm dilated and 100% eﬀaced. The fetal heart rate is 120 beats/minute. The client is screaming and her husband is alarmed. Which intervention should the practical nurse (PN) implement?

Correct Answer is C

Explanation

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?

Correct Answer is B

Explanation

The practical nurse (PN) is discussing attention deficit hyperactivity disorder (ADHD) with the mother of a 7- year-old student newly diagnosed with the disorder. Which intervention should the PN suggest as most eﬀective in managing the symptoms of ADHD?

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?

A client on the mental health unit has been scowling and rapidly pacing up and down the hall for several minutes. Which behaviors are most important for the practical nurse (PN) to monitor?

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?

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?

The parents of a child with acute glomerulonephritis are describing to the practical nurse (PN) what originally motivated them to seek medical care. Which sign did the child most likely exhibit?

At a prenatal visit, a primigravida client confides to the practical nurse (PN) that her partner is abusive. Which information should the PN provide?

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?