What manifestation associated with Liver failure should the practical nurse report first?
a) Yellowing of sclerae
b) Decreased appetite
c) Increased respiration
d) Decreased consciousness - correct answer d) Decreased consciousness
Hepatic encephalopathy is a CNS manifestation that often...
Hepatic encephalopathy is a CNS manifestation that often leads to coma and death
Mr. Bell has been transferred to a long-term care facility. As the team leader in the facility, what should
the practical nurse do first?
a) Refer Mr. Bell to a dietician for a high-iron diet
b) Delegate Mr. Bell's total care to an unregulated health worker
c) Discuss with the team Mr. Bell's increased need for skin care
d) Continue to educate Mr. Bell on the advantages of a liver transplant - correct answer c) Discuss with
the team Mr. Bell's increased need for skin care
This uses the practical nurse's leadership skills within the interprofessional team
Mrs. Tang delivered a healthy baby girl 2 hours ago. What is the practical nurse's priority assessment of
the mother?
a) Location and tone of the uterus
b) Parent and infant attachment behaviours
, c) Vital signs, especially blood pressure
d) Perineal edema and lochia - correct answer a) Location and tone of the uterus
Mrs. Burke has skin breakdown over her coccyx. She rarely rings for assistance in repositioning and sits
for prolonged periods in her wheelchair. What should the practical nurse do initially?
a) Ensure that Mrs. Burke understands the importance of relieving pressure to reduce risk of skin
breakdown
b) Make a note on the chart to reposition Mrs. Burke every 2 hours to prevent pressure on the coccyx
c) Cleanse the coccyx with sterile water and place a sterile dressing over the broken skin
d) Recommend that Mrs. Burke remain in bed until her coccyx has completely healed - correct answer
a) Ensure that Mrs. Burke understands the importance of relieving pressure to reduce risk of skin
breakdown
Mrs. Burke tells the practical nurse that she suddenly has a headache and feels nauseous. She is
diaphoretic and her face is flushed. Mrs. Burke's blood pressure is assessed and is now significantly
elevated. What should the practical nurse do?
a) Check her temperature, heart rate and respiration and administer a p.r.n. analgesic
b) Reassess Mrs. Burke's vital signs and assess the urinary drainage system
c) Place her in the Trendelenburg position and administer an antiemetic medication
d) Perform a neurological assessment prior to notifying the physician - correct answer b) Reassess Mrs.
Burke's vital signs and assess the urinary drainage system
She's presenting with manifestations of autonomic dysreflexia which can be fatal if the triggering
stimulus is not removed as quickly as possible
The physician's order reads intermediate-duration insulin NPH (Novolin ge NPH) 36 units with regular
insulin 12 units subcutaneously. What process should the practical nurse use?
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