The practical nurse (PN) is preparing a client for discharge who receives a prescription for oral prednisone to treat a severe allergic reaction. Which teaching about medication administration should the PN reinforce?

Take on an empty stomach.

Take before bedtime.

Take only as needed.

Take with food.

Answer and Explanation

The Correct Answer is D

Taking oral prednisone with food helps to minimize gastrointestinal side effects such as stomach irritation and upset. Food acts as a protective barrier for the stomach lining, reducing the risk of irritation caused by the medication. Additionally, taking prednisone with food can help improve its absorption and distribution in the body.

The other options mentioned are incorrect:

A- "Take on an empty stomach": This is incorrect because taking prednisone on an empty stomach can increase the risk of gastrointestinal side effects. It is generally recommended to take prednisone with food to minimize these side effects.

B- "Take before bedtime": This is incorrect as there is no specific timing requirement for taking prednisone before bedtime. The timing of prednisone administration should be based on the individual's needs and the instructions provided by the healthcare provider.

C- "Take only as needed": This is incorrect because prednisone is typically prescribed with specific dosing instructions. It is important for the client to follow the prescribed dosing schedule and not take it "as needed" unless instructed otherwise by the healthcare provider.

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Correct Answer is B

Explanation

A. Asking the client if she has previously been catheterized is important for understanding her history and comfort level but is not the first action to take in preparation for the procedure.
B. Consulting with the charge nurse about the catheter may be appropriate if there are concerns about the catheter type, but it is not a priority before starting the procedure.
C. Obtaining a 30 mL syringe and a vial of sterile water is essential for inflating the balloon after catheter insertion, but this can be done after positioning the client.
D. Positioning the client and observing the urinary meatus is the first action the PN should take. This step ensures the client is comfortable and provides a clear view for proper catheter insertion, which is crucial for the procedure's success.

A. Keep the battery door closed during storage. B. Observe and report any ear drainage after removing the device. C. Store the device on window sill to prevent loss. D. Verify that the device is labeled with client's identification. E. Remove ear wax from the device's surface.

Correct Answer is ["B","E"]

Explanation

The PN should instruct the UAP to observe and report any ear drainage after removing the device, as this may indicate an infection or irritation of the ear canal. The PN should also instruct the UAP to verify that the device is labeled with client's identification, as this can prevent mix-ups or misplacement of the device. The PN should also instruct the UAP to remove ear wax from the device's surface, as this can improve the sound quality and prevent damage to the device.

The other options are not correct because:

a. Keeping the battery door closed during storage is not a correct instruction, as it can drain the battery and shorten its life span. The PN should instruct the UAP to keep the battery door open during storage, as this can conserve the battery power and prevent corrosion.

c. Storing the device on the window sill to prevent loss is not a correct instruction, as it can expose the device to heat, moisture, or sunlight, which can damage its components or affect its function. The PN should instruct the UAP to store the device in a dry, cool, and safe place, such as a case or a drawer.

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The practical nurse (PN) is preparing a client for discharge who receives a prescription for oral prednisone to treat a severe allergic reaction. Which teaching about medication administration should the PN reinforce?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

The practical nurse (PN) assigns an unlicensed assistive personnel (UAP) to clean the hearing aid of an older adult resident of a long-term care facility. Which instructions should the PN provide to the UAP? (Select all that apply.)

Correct Answer is ["B","E"]

Explanation

During a routine prenatal visit at the antepartal clinic, a multipara at 35 weeks gestation presents with 2+ edema of the ankles and feet. Which additional information should the practical nurse (PN) report to the registered nurse?

The practical nurse (PN) hears an older resident of a long-term care facility shout profanities at an unlicensed assistive personnel (UAP) who shouts back at the resident. Which is the first action the PN should take?

The practical nurse (PN) finds a postoperative client lying in bed with an unsecured surgical dressing as seen in the picture. After reinforcing the dressing, which follow-up assessment is most important for the PN to implement?

Which statement by an older female client who lost her spouse two years ago should indicate to the practical nurse (PN) that the client may need bereavement counseling?

While caring for a client with Guillain-Barre syndrome, which finding should the practical nurse (PN) report to the charge nurse?

The mother of a school-aged boy tells the practical nurse (PN) that he fell out of a tree and hurt his arm and shoulder. The mother says the boy is in pain and needs medical help. The nurse should assess the injury and decide the appropriate action to take.