The practical nurse (PN) is charting vital signs on a hand-writen ﬂow sheet and realizes that an error has been made. What should the PN do to rectify this error?

Obliterate the entry and insert the correct information

Draw one line through the entry and insert the correct information

Chart the correct information in the next column.

Notify the charge nurse that the entry needs to be revised

Answer and Explanation

The Correct Answer is B

This is the correct way to correct an error on a hand-writen chart, according to the legal and ethical principles of documentation. The PN should also initial and date the correction.

Obliterating the entry or charting in the next column can create confusion and suspicion of tampering with the records. Notifying the charge nurse is not necessary unless the error has serious implications for the client's care or safety

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Correct Answer is C

Explanation

The correct answer is choice C - IV infusion site is infiltrated. Choice A rationale:

The client reports feeling nauseous. While this symptom should be monitored, it is not the most crucial finding to report for a client in Addison's crisis. Nausea can be a common symptom during various medical conditions and may not warrant immediate action.

Choice B rationale:

Has not voided in four hours. While monitoring urine output is important, it may not be the most critical finding in Addison's crisis. Other symptoms like electrolyte imbalances and

circulatory collapse is more concerning in this scenario.

Choice C rationale:

IV infusion site is infiltrated. In Addison's crisis, the client's condition may be precarious, and any complications with IV therapy could worsen the situation. It is essential to report this finding promptly to prevent further complications.

Choice D rationale:

A serum glucose level of 85 mg/dL. While monitoring glucose levels is essential in many situations, a glucose level of 85 mg/dL is within the reference range, which means it is not the most critical finding in Addison's crisis.

A. Review the client's expectations of elimination after surgery. B. Verify that the client had nothing by mouth (NPO) for the past 24 hours. C. Ask the client if he finished the bowel sterilization prescription. D. Determine if this is the first indwelling catheter the client has had.

Correct Answer is A

Explanation

This is the best action for the PN to implement because it addresses the client's question and provides an opportunity to educate the client about the fecal diversion surgery and its outcomes. The PN should review the type, location, and appearance of the surgical opening (stoma) and explain how it will aﬀect the client's elimination and body image.

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The practical nurse (PN) is charting vital signs on a hand-writen ﬂow sheet and realizes that an error has been made. What should the PN do to rectify this error?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is admitted for treatment of Addison's crisis. Which finding is most important for the practical nurse (PN) to report to the charge nurse? Reference Range: Glucose [Reference Range: 0 to 50 years: less than 140 mg/dL or less than 7.8 mmol/L].

Correct Answer is C

Explanation

The practical nurse (PN) is assisting with preparation of a client for fecal diversion surgery. While inserting an indwelling urinary catheter, the client asks if the surgical opening will be visible. Which action should the PN implement?

Correct Answer is A

Explanation

Which task could the practical nurse (PN) safely delegate to the unlicensed assistivepersonnel (UAP)?

The parents of a one-year-old child with the diagnosis of hypospadias informed the practical nurse (PN) that they plan to delay corrective surgery to see if the child will outgrow the problem. Which information should the PN provide to these parents?

When monitoring a client's abdominal incision, the practical nurse (PN) observes a large amount of sanguineous drainage on the dressing. Which client data collection should the PN complete first?

A client is receiving palliative care, and death is anticipated within the next 24 hours. The practical nurse (PN) observes that the client's legs have a mottled appearance. What should the PN apply to the client's legs?

When the practical nurse (PN) attempts to assist an 18-year-old client with a mild mental disability to ambulate on the first postoperative day after an appendectomy, she becomes angry and yells at the PN, "Get out of here! I'll get up when I'm ready!”. Which response isbest for the PN to make?

The practical nurse (PN) determines that a client's pupils constrict as they change focus from a far object to a near object. How should the PN document this finding?

An unlicensed assistive personnel (UAP) is completing an orientation assignment and is caring for a client who needs assistance with bathing. What is the best way for the practical nurse (PN) to evaluate this UAP's performance?

A practical nurse (PN) who works in the nursery is attending the vaginal delivery of a term infant. Which action should the PN complete prior to transporting the baby to the nursery?