The practical nurse (PN) notes several nutritional goals in a standardized plan of care used in the antepartum clinic. Which client goal takes priority?

Uses the pregnancy food pyramid when making meal choices.

Recognizes the dangers of alcohol use during pregnancy.

Achieves the desired weight gain for each trimester.

Prepares a diet history for use in analyzing her own diet.

Answer and Explanation

The Correct Answer is B

The priority goal for the practical nurse (PN) in the antepartum clinic is to ensure that the client recognizes the dangers of alcohol use during pregnancy. Alcohol consumption during pregnancy can lead to fetal alcohol syndrome and other developmental disorders. It is important for the client to understand the risks associated with alcohol use and to avoid it during pregnancy. The other goals are also important but recognizing the dangers of alcohol use takes priority.

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Correct Answer is A

Explanation

The fact that the patient is being treated for depression and is currently taking an antidepressant medication suggests that his loss of interest in sexual intimacy may be related to his medication. Certain antidepressants can cause sexual dysfunction, including decreased libido.

Therefore, obtaining a list of medications currently being taken (A) is the most important information for the PN to obtain. While marital discord (B), frequency of sexual activity (C), and alcohol consumption (D) may be relevant information, they are not as directly related to the patient's current complaint as his medication use.

A. Calmly oﬀer to walk around the hallways with the client. B. Make sure the room lights are dimmed to calm the client. C. Leave the client alone until signs of agitation have passed. D. Measure the client's vital signs at the onset of agitation.

Correct Answer is A

Explanation

Restlessness, confusion, and agitation in the evening are common symptoms of sundowning, which is a condition that aﬀects some older adults with dementia. Oﬀering to walk around the hallways with the client can provide a calming eﬀect and reduce the symptoms of sundowning.

Dimming the lights may actually increase confusion and agitation, and leaving the client alone may increase feelings of isolation and fear.

Measuring the client's vital signs may not be necessary unless there are specific medical concerns.

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The practical nurse (PN) notes several nutritional goals in a standardized plan of care used in the antepartum clinic. Which client goal takes priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The practical nurse (PN) is interviewing a middle-aged married male who is being treated for depression and reports an increasing lack of interest in sexual intimacy with his wife. Which information is most important for the PN to obtain?

Correct Answer is A

Explanation

Correct Answer is A

Explanation

The practical nurse (PN) is contributing to the plan of care for a toddler with failure to thrive due to inadequate caloric intake. Which observation should the PN monitor to best help develop interventions?

The mother of a child who is hospitalized with croup and is in a mist tent brings the child's favorite stuﬀed animal to the hospital. Which action should the practical nurse (PN) take?

Following a hysterectomy, an older adult's complete metabolic panel findings indicate that her magnesium level is low. To help increase the client's magnesium level, the PN should suggest that the client increase her intake of which food?

A primigravida who is at 10-weeks gestation is hospitalized on the antepartum unit for pyelonephritis. The client tells the practical nurse (PN) that she has had several episodes of nausea. When reviewing her lunch menu, which food should the PN discourage her from choosing?

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?

At a prenatal visit, a primigravida client confides to the practical nurse (PN) that her partner is abusive. Which information should the PN provide?

The mother of a 3-year-old asks the practical nurse (PN) to clarify the healthcare provider's diagnosis of acute otitis media. Which is the most accurate explanation?