13: a post operative clients level of consciousness can be described as stuporous and vital signs are within normal limits which of the following
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<br/><br/><br/><br/><br/><br/><br/><br/><br/><br/>13: a post operative

clients level of consciousness can be described as stuporous and vital signs are within normal limits which of the following positions should the practical nurse assist the client into?
a) prone
b) lateral
c) semi fowler
d) low fowler


12: client is having anaphylactic reaction to new iv antibiotic what should the practical nurse do first?


16: the client is diagnosed with HIV reports having a sore mouth and tongue. when the practical nurse assess the buccal mucosa white patchy lesions covering the hard and soft palates and the right inner cheek are noted which intervention should the practical nurse implement?
a) request the doctor to prescribe an anti fungal swish medication
b) determine what types of food the client has been eating for the last 24 hours
c) teach the client to brush the teeth and patchy are with soft bristle toothbrush
d) have the client gargle with an antiseptic based mouthwash several times a day


15: the practical nurse has developed a plan of care for a client who had thyroidectomy and states they are at risk for ineffective breathing pattern which nursing intervention should the practical nurse include in this plan of care?
a)maintain a high fowler position
b) monitor neck circumference every 2 hours
c) encourage deep breathing and coughing exercises
d) maintain a compression dressing on the incision






24 whole assessing a client with HIV the practical nurse notices the presence of disseminated raised painless skin lesions that are brownish purple in colour which of the following HIV complications does the pracitcal nurse recognize based on the assessment finding?f


27: a client expresses concern about the dangers of being radioactive after they have a radioactive thyroid scan. what understanding about the test should guide the practical nurse response?
a) dysuria
b) blurred vision
c) tachycardia
d) leg cramps


25: the practical nurse is caring for a client in the irreversible stage of shock what is the essential part of the nursing care?
a) giving the client brief explanation of what is happening
b) avoiding stimulating the client by touch
c) preparing the family for a long recovery process
d) keeping visitors to a minimum


30: client is receiving radioactive iodine treatment for hyperthyroidism what should the practical nurse include in the teaching to the client?
a) dry mouth
b) constipation
c) excessive thirst
d) sun protection


Q41 a client admitted with hypothyroidism has a nursing diagnosis risk for imbalanced body temperature which intervention should the practical nurse include in the plan of care?
a) avoid using electric nurses
b) provide cool environment
c) assess temperature every two hours
d) space activities to promote test




Q42:when caring for a client with graves disease which nursing intervention should be the priority?
a) teaching to increase fluids and fiber to regain normal bowel pattern
b)encouraging use of tinted glasses or shields when awake
c) increase physical exercise to 30 min/day for 7 days
d) offering a diet low in calories high in fiber and protein


Q43: which if the following is one of the most important parts of the preoperative assessment by the practical nurse?
a) establish baseline data for comparison of the client status in the intra operative and post operative periods
b) determine whether the clients psychological stress is too high to undergo surgery
c) determine whether the clients surgery should be done on an inpatient an inpatient or same day admission basis
d) identify what information the client needs to understand before surgery


19: when caring for a client admitted with AIDS related complications due to a category CD4 + T-cell &lt;200 cells/mm , what nursibg intervention would be appropriate for protecting their skin surfaces?
a) providing perianal skin care
b) use scented ointments lavishly
c)providing nutritious food
d) encourage the client to wear tight coughing




27:a female client with hypothyroidism is receiving levothyroxine ( Synthroid) 25 mcg po daily .upon evaluation assessment which finding should the practical nurse recognize as an adverse drug reaction and notify the physician?
a) the radioactive isotope is only a tracer dose which is not harmful to the client or others close to them
b) wearing a lead shield during the test will protect the client from radioactivity
c) the client must avoid close contact with others for 5 days following the tests
d) maintaining a 2 meter distance and careful hand washing will prevent contamination


Q45: the practical nurse is planning for a client with HIV which intervention are appropriate for a priority nursing diagnosis of risk of infection?
a) offer fresh fruits and vegetables to increase the immune system
b) assess the health status of all visitors
c) provide frequent baths to the family dog
d) maintain clean dry and wrinkle free linen


Q46: the practical nurse is caring for a client who recently received a diagnosis of HIV during discharge planning what goal should the PN emphasize?
a) insist on the avoidance to exposure fo all disease
b) encourage the client to adhere to medical treatment
c) review the client involvement in support groups
d) promote exercise within the client limitation








Q4the practical nurse is caring for a client exhibiting manifestations of neurogenic shock following a cervical spine fracture at the level of the C4 which of the following is a priority nursing diagnosis for this client?
a) risk for spinal cord injury
b) risk for impaired breathing
c) risk for impaired skin integrity
d) risk for autonomic dysrefleixia


Q3 )a 76 year old client is hypovolemic shock is receiving rapid infusions of crystalloid fluids which client finding requires immediate nursing action?
a) client is anxious
b) client urinary output is 35 ml/ hour
c) client has dyspnea and audible crackles
d) client heart rate is 115 bmp


Q20: the practical nurse observe a client is practicing to sue incentive spirometry in the pre admission clinic how would the practical nurse know the client understand how to use the device properly?
a) the clients puts the mouthpiece in their mouth inhales slowly maintain the flow indicator for 3 seconds and then coughs
b) the clients puts the mouthpiece in their mouth inhales slowly maintain the flow indicator for 3 seconds and repeat ten times
c)the clients puts the mouthpiece in their mouth closes their lips tightly around it and slowly exhales completely and repeat ten times
d)the clients puts the mouthpiece in their mouth closes their lips tightly around it and slowly exhales completely and then coughs


Q16 the client diagnosed with HIV reports having a sore moth and tongue when the practical nurse assess the buccal mucosa white patchy lesions covering the hard and soft palates and the right inner cheek are noted which intervention should the practical nurse implement ?
a) determine what types of food the client has been eating or the last 24 hours
b) request the doctor to prescribe an anti fungal swish mediation
c) teach the client to brush the teeth and patchy area with a soft bristle toothbrush
d) have the client gargle with an antiseptic based mouthy wash several times a day

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