Practical Nurse Monitoring Explained for Students (Easy Guide)
This question focuses on applying theory to practical scenarios.
What This Question Is About
This question relates to practical nurse monitoring and requires a structured academic response.
How to Approach This Question
Focus on explaining concepts clearly and supporting them with examples.
Key Explanation
This topic involves practical nurse monitoring. A strong answer should include explanation, application, and examples.
Original Question
1. The practical nurse (PN) is monitoring neuro -vital signs of a client with a recent head injury. Which vital sign trends indicate increased intracranial pressure and should be reported to the charge nurse? Thready rapid pulse, trembling, perspiration , weakness and irritability. Bounding pulse rate, groaning respiratory effort, and elevated blood pressure. Heart rate 110 beats/minute elevated respiratory rate and hypotension. Bradycardia, irregular respiratory patterns, widening pulse pressure. 2. A male client who is anxious and fearful removed his rebreather face mask. The mask now needs to be replaced. Which action should the Practical nurse(PN) take first? Request that a respiratory therapist come to the room.’ Secure the straps around each of the client’s ears. Check that the reservoir bag inflates during exhalation. Plack mask over the bridge of the nose and then the mouth. 3. In completing a focused assessment of a client who recently had thoracic surgery , The practical nurse(PN) hears fine crackles when listening to the client’s breath sounds. Which action should the PN take in response to this finding? Encourage the client to practice pursed lip breathing hourly. Advise the client to remain on bedrest until seen by the surgeon. Observe the client’ surgical incision for redness or swelling. Determine if the client is performing deep breathing exercises. 4. A client who is receiving chemotherapy has developed stomatitis. Which instruction should the practical nurse (PN) provide the unlicensed assistive personnel (UAP) who is assisting with the care of this client? Provide gentle and meticulous mouth care. Assist the client with feeding at meal times. Keep the room environment free of unpleasant odors Gather supplies for protective environment precautions. 5. The practical nurse (PN) is providing home care for an older woman with type 2 diabetes mellitus (DM)who had a coronary artery bypass graft 2 years ago. Which finding should the PN report immediately to the supervising nurse? Poor hair growth on the legs Thickened toenail growth Blister on the left inner ankle. Cool skin temperature of feet. 6. The practical nurse (PN) is reviewing discharge instructions from the clinic with the parent of a school has impetigo. Which statement of the parent indicates to the PN that additional review of instructions is needed? Wash hands frequently. Monitor for itching and scratching Release fluid from the lesions. Treatment will include antibiotics. 7. The practical nurse (Pn) caring for a child with a unilateral long leg cast applied for the correction of club foot. Which action is most important for the PN to perform? Examine for spontaneous movement/ Compare temperature of both legs. Palpate femoral pulses. Monitor capillary refill of the toes. 8. A new father is upset because the circumcision was not done on his newborn with a hypospadias anomaly.How should the practical nurse (PN) respond? Tell the parent not to worry because the circumcision can be done later. Acknowledge that he is upset and ask how can the PN help. Explain that this is a common problem that can be easily fixed. Agree with his reaction and ask if he wants to talk to a social worker. 9. Prior to giving digoxin the practical nurse (PN) assesses that a 2 month old infant ‘s heart rate is 120 beats/minute. Based on this finding which action should the PN take? Hold the medication and recheck the heart rate in 1 hour. Administer the medication and alert the charge nurse. Hold the medication and document cardiac assessment. Administer the medication and document the heart rate. 10. A client receiving intravenous amphotericin B for treatment for a fungal infection. Which laboratory result is most important for the practical nurse(PN) to report to the healthcare provider? Creatinine 3.8mg/dL(335.92mol.L) Potassium 3.5 mEq/L (3.5mmol/L) Hematocrit35%(0.35 proportion of 1.0) Platelet count 150,000*10 11. A client with wound infection has been receiving an antibiotic for one week.Which finding would indicate to the practical nurse that the medication is producing the desired effect? Wound drainage changed from purulent to clear. Increased inflammation surrounding the wound. White rah present in skin floods close to the wound. Increased white blood cell count(WBC) Decreased body temperature.
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