The parents of a child with pre-diabetes report to the practical nurse (PN) that the child wants to join a soccer team. Which action is best for the PN to implement?

Suggest a less strenuous activity to reduce the risk for dehydration.

Reassure the parents that increased physical activity reduces the risk for diabetes.

Recommend an increase in caloric intake to avoid excessive weight loss.

Instruct the family about the need to adjust the insulin dose before exercise.

Answer and Explanation

The Correct Answer is B

A. Suggesting a less strenuous activity is not necessary as physical activity is beneficial in managing pre-diabetes.
B. Reassuring the parents that increased physical activity reduces the risk for diabetes encourages healthy habits and supports the child’s desire to participate in sports.
C. Increasing caloric intake should be balanced and appropriate for the child's needs but isn't the primary focus in this context.
D. Adjusting insulin doses is important for children with diabetes, but the focus here is on encouraging physical activity to manage pre-diabetes, not insulin adjustments.

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Correct Answer is ["C","D"]

Explanation

A. Teaching the client with fluid restrictions how to measure urine output requires specialized knowledge and skills. This task should be performed by a licensed nurse to ensure accurate instruction and patient understanding.
B. Irrigating an indwelling urinary catheter involves sterile technique and specialized knowledge, which should be performed by a licensed nurse. This task requires specific training to prevent complications.
C. Transporting a urine culture sample to the laboratory can be safely assigned to a UAP. It involves routine tasks that do not require advanced clinical skills and is essential for timely processing of specimens.
D. Emptying the bedside drainage unit for a client with an indwelling urinary catheter can be performed by a UAP. This task involves basic care procedures that support patient hygiene and comfort.
E. Obtaining a post-voided residual (PVR) volume requires a specific clinical skill and understanding of the procedure, which should be performed by a licensed nurse rather than a UAP.

A. Place a biohazard bag over the basin and seal the bag securely for transport to the lab. B. Assist the client in obtaining another specimen coughed directly into a sterile cup. C. Use a wooden applicator to place the sputum specimen in a sterile container. D. Apply gloves and place the tissue and specimen in a container for transport to the lab.

Correct Answer is B

Explanation

A. Placing a biohazard bag over the basin and sealing it is not appropriate because the specimen should have been collected directly into a sterile container, and the specimen's current state in a non-sterile basin is not acceptable for lab analysis.
B. Assisting the client in obtaining another specimen is necessary to avoid cross contamination.
C. Using a wooden applicator to place the sputum specimen in a sterile container is the incorrect as it breaches sterility.
D. Applying gloves and placing the tissue and specimen in a container is incorrect as the specimen must be in a sterile container from the start. Using a non-sterile basin means the specimen might be contaminated.

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The parents of a child with pre-diabetes report to the practical nurse (PN) that the child wants to join a soccer team. Which action is best for the PN to implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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.

Correct Answer is ["C","D"]

Explanation

Correct Answer is B

Explanation

An older adult client of a long-term care facility is awake at 0330 and wandering down the hall in unbuttoned pajamas. Which intervention should the practical nurse (PN) implement?

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Exhibits Following the infusion of sodium chloride, the practical nurse (PN) does a focused assessment and documents the findings. Which three of the following client findings indicate that the client may still have a fluid volume deficit?

The practical nurse (PN) observes an unlicensed assistive personnel (UAP) obtain a client's vital signs. The PN should intervene when observing the UAP performing which technique?

Exhibits Review H and P, nurse's note, laboratory results, prescriptions, and imaging studies. What complications should the practical nurse (PN) monitor for in the next 6 to 8 hours? Select all that apply.

The practical nurse (PN) is assessing an older adult client with left-sided heart failure (HF). Which intervention is most important for the PN to implement?