The practical nurse (PN) administers an antibiotic to a client with a respiratory tract infection. To evaluate the medication's effectiveness, which laboratory values should the PN monitor? (Select all that apply.)

AWhite blood cell count.

Capillary glucose.

Sputum culture and sensitivity.

Prothrombin time.

Urinalysis.

Serum potassium

Answer and Explanation

Correct Answer : A,C

A.   Monitoring the white blood cell count helps assess the body's response to the infection and the effectiveness of the antibiotic treatment.
B.   Capillary glucose monitoring is typically associated with diabetes management and might not directly reflect antibiotic effectiveness in a respiratory tract infection.
C.   Sputum culture and sensitivity assist in identifying the specific organism causing the respiratory tract infection and determining antibiotic effectiveness.
D.   Prothrombin time is more related to clotting factors and might not directly reflect antibiotic effectiveness in a respiratory tract infection.
E.   Urinalysis might not directly reflect the effectiveness of antibiotic treatment for a respiratory tract infection.
F.   Serum potassium might not directly reflect the effectiveness of antibiotic treatment for a respiratory tract infection.

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Correct Answer is D

Explanation

A. The UAPs keep their backs straight and knees bent when moving the client. - This indicates the UAPs are following proper body mechanics for moving the client safely.

B. A turning sheet is used under the client for turning and repositioning. - Using a turning sheet aids in reducing friction and facilitating smooth turning, indicating familiarity with proper
procedures.

C. An abduction pillow is placed between the client's legs when positioned. - This indicates awareness of the need to maintain proper positioning and prevent dislocation after hip surgery.

D. The client is told to keep both legs straight and together while turning. - After a hip arthroplasty, it's crucial to avoid certain movements like keeping both legs straight, as this can stress the hip joint or prosthesis, indicating a need for additional information about proper post-operative positioning.

A. Call the charge nurse to the room. B. Observe the appearance of the injection site. C. Cleanse the finger with soap and water. D. Explain the occurrence to the client.

Correct Answer is C

Explanation

A. Calling the charge nurse might be necessary, but the immediate action after a needlestick injury is to cleanse the affected area to minimize the risk of infection.
B. Observing the appearance of the injection site is important but not the first action following a needlestick injury.
C. Cleaning the finger with soap and water is the initial action to reduce the risk of infection following a needlestick injury.
D. Explaining the occurrence to the client is important but comes after taking care of the nurse's immediate health following a needlestick injury.

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The practical nurse (PN) administers an antibiotic to a client with a respiratory tract infection. To evaluate the medication's effectiveness, which laboratory values should the PN monitor? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The practical nurse (PN) observes two unlicensed assistive personnel (UAP) turning an older client who had a hip arthroplasty with prosthesis placement four hours ago. Which observation by the PN indicates that the UAPS needs additional information about the turning procedure?

Correct Answer is D

Explanation

The practical nurse (PN) administers an injection using a syringe with a retractable needle. After the needle is removed from the client's skin, the needle does not retract, and the PN gets stuck in the finger with the used needle. What action should the PN take first?

Correct Answer is C

Explanation

The practical nurse (PN) is caring for a client newly diagnosed with diabetes mellitus. Which finding indicates that the PN should obtain a capillary glucose measurement to assess for hypoglycemia?

An older client is fitted with a hearing aid and instructions are provided for its use. Which instruction is accurate and should be reinforced by the practical nurse (PN)?

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