The practical nurse (PN) is providing care for a client who is ordered nothing by mouth (NPO) after a small bowel resection. The client's nasogastric (NG) tube is connected to low intermitent suction. The client reports dizziness and tingling in digits.

Which assessment finding by the PN should be reported to the healthcare provider?

Hyperactive bowel sounds on assessment.

Heart rate of 90 beats per minute with premature ventricular contractions (PVCs) noted on telemetry.

Hypoactive bowel sounds on assessment

Regular heart rate of 100 beats per minute on telemetry

Answer and Explanation

The Correct Answer is B

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Correct Answer is A

Explanation

A thready pulse is a weak and rapid pulse that is easily obliterated by light pressure. It indicates poor blood ﬂow and perfusion, and may be caused by conditions such as shock, dehydration, or hemorrhage.

The other options are not correct because:

A missing pulse is a pulse that is absent or cannot be detected, even with firm pressure. It indicates a complete blockage of blood ﬂow, and may be caused by conditions such as arterial occlusion, embolism, or trauma.
Light pressure applied to pulse is not a documentation of the pulse quality, but a description of the technique used to palpate the pulse.
Pulse skips beats is a documentation of an irregular pulse rhythm, not a pulse volume. It indicates that the heart beats are unevenly spaced, and may be caused by conditions such as arrhythmia, stress, or caﬀeine intake.

A. Ask another UAP to help the orientee to ensure satisfactory care B. Verify with the client that the bath was complete and thorough C. Inspect the client's skin near the end of the bathing procedure D. Observe the UAP's technique and communication skills during the bath

Correct Answer is D

Explanation

Observe the UAP's technique and communication skills during the bath.

The PN should directly observe the UAP's performance and provide feedback and guidance as needed. This can help ensure that the UAP follows the standards of care and respects the client's dignity and preferences.

The other options are not correct because:

Asking another UAP to help the orientee may not be appropriate or necessary, as it may interfere with the orientation process and create confusion or conﬂict.
Verifying with the client that the bath was complete and thorough may not be sufficient or reliable, as the client may not be able to assess the quality of care or may not want to complain.
Inspecting the client's skin near the end of the bathing procedure may not be timely or comprehensive, as it may miss some aspects of care or some problems that occurred during the bath.

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Naxlex Comprehensive Predictor Exams

The practical nurse (PN) palpates a client's radial pulse and notes that the pulse disappears when light pressure is applied. How should the PN document this finding?

Correct Answer is A

Explanation

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?

Correct Answer is D

Explanation

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 client is being treated for hepatic failure. On examination, the client has an elevated pulse rate and exhibited changes in mental status. Which intervention in the plan of care should the practical nurse (PN) implement?

The practical nurse (PN) is preparing for shift change. Which task has the highest priority and should be completed first?

The practical nurse (PN) is reviewing a client's recent ophthalmic screening test results. Findings of optic neuropathy, loss of peripheral vision, and increased intraocular pressure are consistent with which medical condition?

A male client who has just been told he has cancer asks the practical nurse (PN) to leave his room so he can be alone. Which action should the PN implement?

When gathering data about a client with dark skin tones, which site should the practical nurse (PN) observe?