The practical nurse (PN) is planning care for a child with heart failure. Which intervention should the PN give the greatest priority?

Monitor therapeutic level of phenytoin.

Increase ﬂuid intake.

Cluster care to conserve the child's energy.

Restrict intake of foods high in sugar.

Answer and Explanation

The Correct Answer is C

For a child with heart failure, the greatest priority for the practical nurse (PN) is to conserve the child's energy. Clustered care activities and rest periods will help to conserve the child's energy and minimize the workload on the heart.

Monitoring therapeutic levels of phenytoin (A) is not relevant to the care of a child with heart failure. Increasing ﬂuid intake (B) is not a priority intervention for a child with heart failure, as excessive ﬂuid intake can worsen heart failure. Restricting intake of foods high in sugar (D) may be necessary for a child with heart failure, but it is not the greatest priority for the PN to address.

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Correct Answer is B

Explanation

Athlete's foot is a fungal infection, and antibiotics are not eﬀective against fungi. The PN should inform the client that they need to use an antifungal medication instead of an antibiotic.

A. Can I call your parents for you? I know that you are feeling bad right now. B. Would you like me to call your friends to be with you while you're dealing with this news? C. Would you like me to call your chaplain? D. Tell me about what the healthcare provider said.

Correct Answer is D

Explanation

The PN should acknowledge the client's emotional state and allow him to express his feelings while also obtaining more information about the situation. By asking the client to share what he was told by the healthcare provider, the PN can gain a better understanding of the client's knowledge of the disease and provide appropriate education and support. Options A, B, and C are incorrect because they do not address the client's emotional state or provide helpful information to the PN in this situation.

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The practical nurse (PN) is planning care for a child with heart failure. Which intervention should the PN give the greatest priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client tells the practical nurse (PN), "I have been applying triple antibiotic ointment to my athlete's foot for the past two days, but it still itches. How should the PN respond?

Correct Answer is B

Explanation

The healthcare provider informs an 18-year-old male client that he has Hodgkin's disease. When the practical nurse (PN) enters the room, the client shouts, "Get out of here! I don't want to see anyone! I just want to die!" Which initial response should the PN make?

Correct Answer is D

Explanation

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