The practical nurse (PN) is assisting in a community center clinic when four clients simultaneously arrive seeking help. In which order should the PN prioritize care to be provided based on the client needs? (Arrange the client with the highest priority first, on top, and lowest priority last, on botom.)

A 12-year-old child with history of asthma who is wheezing and complaining of shortness of breath.

A 7-year-old child who has type 1 diabetes mellitus and is experiencing extreme hunger and shakiness

A 10-year-old child with bleeding lacerations on both knees after falling on the playground

A 5-year-old child who is crying uncontrollably because of an incontinent bowel episode.

Answer and Explanation

The Correct Answer is A,B,C,D

A 12-year-old child with history of asthma who is wheezing and complaining of shortness of breath.

This client has the highest priority, as he or she may be experiencing an acute asthma atack that can compromise the airway and oxygenation. The PN should assess the client's respiratory status, administer bronchodilators, and monitor for improvement or deterioration.

A 7-year-old child who has type 1 diabetes mellitus and is experiencing extreme hunger and shakiness.

This client has the second highest priority, as he or she may be experiencing hypoglycemia, which is a low blood glucose level that can cause neurologic symptoms such as confusion, seizures, or coma. The PN should check the client's blood glucose level, provide a source of glucose, and monitor for recovery or complications.

A 10-year-old child with bleeding lacerations on both knees after falling on the playground.

This client has the third highest priority, as he or she may have a risk of infection or blood loss from the wounds. The PN should clean and dress the lacerations, apply pressure if needed, and check for signs of infection or inﬂammation.

A 5-year-old child who is crying uncontrollably because of an incontinent bowel episode.

This client has the lowest priority, as he or she does not have a life-threatening or urgent condition, but a psychosocial or emotional issue. The PN should provide comfort and reassurance to the child, change his or her clothes, and explore the possible causes of the incontinence.

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Correct Answer is B

Explanation

B Restricting protein intake can help reduce the workload on the kidneys and minimize proteinuria (excess protein in the urine), which is common in glomerulonephritis. Limiting high-

protein foods, especially animal proteins, can help slow the progression of kidney damage and preserve kidney function.
A Increasing potassium intake is generally not recommended in glomerulonephritis, especially if the client has hyperkalemia (elevated potassium levels). In kidney disease, potassium levels can become elevated due to decreased excretion by the kidneys.
C Limiting oral fluid intake to 500 mL/day is not a suitable recommendation for most clients with glomerulonephritis. Adequate hydration is important for maintaining kidney function and preventing complications such as dehydration and electrolyte imbalances.
D While increasing fiber intake is generally beneficial for overall health and gastrointestinal function, it is not a specific dietary recommendation for clients with glomerulonephritis.

A. Hemoglobin levels. B. White blood cell count. C. Red blood cell count. D. Platelet count.

Correct Answer is D

Explanation

D. Platelets are responsible for primary hemostasis, which involves the initial formation of blood clots to stop bleeding. A low platelet count (thrombocytopenia) or dysfunction in platelet function can lead to bleeding manifestations such as petechiae and ecchymosis.
A. Hemoglobin levels measure the concentration of hemoglobin in the blood and are used to assess for anemia.
B. White blood cell count measures the number of white blood cells in the blood and is used to assess for infections or inflammatory conditions.
C Red blood cell count measures the number of red blood cells in the blood and is used to assess for anemia or erythrocytosis.

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Naxlex Comprehensive Predictor Exams

The nurse is teaching a client with glomerulonephritis about self-care. Which dietary recommendation should the nurse encourage the client to follow?

Correct Answer is B

Explanation

The nurse assesses a client with petechiae and ecchymosis scattered across the arms and legs. Which laboratory result should the nurse review?

Correct Answer is D

Explanation

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