The practical nurse (PN) observes unlicensed assistive personnel (UAP) bathing a bedfast client with the bed in a high position. Which action should the PN take?

Assume care of the client immediately.

Remain in the room to supervise the UAP.

Instruct the UAP to lower the bed for safety.

Determine if the UAP would like assistance.

Answer and Explanation

The Correct Answer is C

Instruct the UAP to lower the bed for safety.

This is the best action for the PN to take because it ensures the client's safety and prevents potential falls or injuries. The PN should also educate the UAP on the importance of lowering the bed when providing care to a bedfast client.

A. Assuming care of the client immediately is not necessary and may undermine the UAP's confidence and competence.

B. Remaining in the room to supervise the UAP is not appropriate and may interfere with the client's privacy and dignity.

D. Determining if the UAP would like assistance is not a priority and may not address the safety issue.

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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. Exhale through the mouth. B. Gently blow the nose. C. Check glucose level before and after administration. D. Deep breathe and cough.

Correct Answer is B

Explanation

This is the action that the PN should emphasize for the client to take before self-administration of the nasal spray because it clears the nasal passages of mucus and debris and allows for better absorption of the medication. The PN should also instruct the client to shake the botle well, tilt the head slightly forward, insert the nozzle into one nostril, close the other nostril with a finger, and press the pump while inhaling gently.

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The practical nurse (PN) observes unlicensed assistive personnel (UAP) bathing a bedfast client with the bed in a high position. Which action should the PN take?

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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

Correct Answer is B

Explanation

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