The practical nurse (PN) is caring for a client with a new prescription for fluticasone furoate nasal spray, a glucocorticoid prescribed for the client's nasal allergy symptoms. In reinforcing instructions about self-administration of the nasal spray, the PN should emphasize the need for the client to take which action before self-administration?

Deep breathe and cough.

Check glucose levels before and after administration.

Exhale through the mouth.

Gently blow the nose.

Answer and Explanation

The Correct Answer is D

Gently blowing the nose helps to clear any mucus or debris from the nasal passages, allowing for better delivery and absorption of the medication. It also helps to ensure that the nasal passages are clear and open, allowing the medication to reach its intended target.
A. Deep breathing and coughing are unrelated to the administration of nasal spray and are not necessary before using the medication.
B. Checking glucose levels before and after administration is not relevant for fluticasone furoate nasal spray. Glucocorticoid nasal sprays are not typically associated with significant effects on blood glucose levels.
C. Exhaling through the mouth is not a specific action required before using the nasal spray. It may be a general instruction for some other respiratory therapies or procedures, but it is not directly related to the administration of the nasal spray.

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

Explanation

Prior to administering pain medication to an adult postoperative client, the practical nurse (PN) should obtain the following information:

Time of last administration of pain medication: It is important to know when the client last received pain medication to ensure that the appropriate timing for the next dose is followed.
Client's pain rating on a scale of 1 to 10: Assessing the client's current pain level helps determine the need for pain medication and the appropriate dose.
Effectiveness of last pain medication administered: Evaluating the effectiveness of the previous pain medication helps determine if the current regimen is sufficient or if adjustments need to be made.

Obtaining the height and weight of the client prior to admission and the history of pain medication use during the past year may not be directly relevant to the immediate administration of pain medication.

A. Asks how long he has been in the hospital B. Drinking broth C. States he is hungry D. Clawing at the air E. Keeps trying to get out of bed to find the swimming pool F. Recognizes his daughter G. Oriented to time, place, and self H. Oxygen saturation on 0.5L of 100%

Correct Answer is ["A","B","C","F","G"]

Explanation

Based on the given information, the statements that indicate the client's confusion is resolving are:

Asks how long he has been in the hospital: This shows cognitive awareness and the ability to ask relevant and coherent questions.
States he is hungry: This indicates a return to normal appetite and the ability to recognize and express basic needs.
Recognizes his daughter: This demonstrates the ability to recognize and identify a familiar individual, suggesting an improved level of cognitive functioning.
Oriented to time, place, and self: Being aware of the current time, location, and personal identity reflects an improved level of orientation and mental clarity.
The statement "Drinking broth" does reflect the client's willingness and ability to consume food.

The following statements suggest ongoing confusion or potential issues:

Clawing at the air: This behavior may indicate restlessness, agitation, or disorientation.
Keeps trying to get out of bed to find the swimming pool: This behavior may indicate confusion or an altered perception of reality.

The statement "Oxygen saturation on 0.5L of 100%" provides information about the client's oxygen saturation level but does not specifically address the resolution of confusion.

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Naxlex Comprehensive Predictor Exams

Prior to administering pain medication to an adult postoperative client, what information should the practical nurse (PN) obtain? (Select all that apply.)

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

Explanation

Chest x-ray: Consolidation in the right lower lobe consistent with pneumonia Review H and P, nurse's notes, flow sheet, doctor's order, and Imaging studies. What statements indicate the client's confusion is resolving? Select all that apply.

Correct Answer is ["A","B","C","F","G"]

Explanation

After the change-of-shift report, the practical nurse (PN) makes rounds on a postoperative unit. Which client finding necessitates the Immediate attention of the PN?

An older female client who resides in a long-term care facility has a male friend who often visits her in the evenings. The practical nurse (PN) enters the client's room to administer medications and finds the couple in bed together. What action should the PN take?

A male client with a chronic medical condition tells the practical nurse (PN) that he wants no heroics to prolong his life if anything should happen to him. Which action should the PN take?

The charge nurse brings a #18 urinary catheter with a 30 mL balloon to the practical nurse (PN) who is preparing to insert a catheter in a female client who weighs 50 kg. Which action should the PN take first?

An older female adult who was admitted to a long-term care facility yesterday is confused about what day of the week it is. Her history does not indicate that she was confused prior to admission. What action should the practical nurse (PN) take?

A client whose first child was delivered by cesarean section is 20 weeks pregnant with her second child and wishes to have a vaginal birth after cesarean (VBAC). What information is most important for the practical nurse (PN) to obtain?

The practical nurse (PN) is caring for a client with psychosis who demonstrates an inability to communicate effectively. Which method should the PN use to interact with the client?