NCLEX-PN

Explanation : You would recommend a skin sealant, including products like Bard’s Protective Barrier and Convatec’s Allkare, which are fast-drying polymer transparent films that can be applied relatively simply with a wipe or a spray. These products are easy to use and less expensive than solid skin barriers, including Hollister’s Flextend and others containing hydrocolloids. (See Topical Skin Preparations ) 4.​ Which basic activity of daily living assistive devices can be useful for the client who is affected by poor fine motor coordination?

A.​ An aphasia aid B.​ A button hook C.​ Honey-thickened liquids D.​ A word board

Correct Response: B Explanation: The basic activity of daily living assistive devices that can be useful for the client who is affected with poor fine motor coordination is a button hook that would be used for the dressing activity of daily living. An aphasia aid and a word board are assistive devices to facilitate communication when the client is affected by a communication deficit such as aphasia; and, lastly, honey-thickened liquids are indicated for clients with a swallowing disorder; they are not indicated for clients with poor fine motor coordination. (See Empowering Clients with Assistive Devices and Prostheses for Enhanced Self-Care ) 5.​ You are caring for a postoperative client who is complaining of abdominal distention and flatus. Which intervention would you most likely do for this client?

A.​ A cleansing enema B.​ A retention enema C.​ A return-flow enema D.​ A laxative

Correct Response : C Explanation : The most likely intervention for this Client, after getting a doctor’s order, is a return flow enema. Return-flow enemas, similar to a carminative enema, are used to relieve flatus and stimulate peristalsis, which is frequently a problem after a client has received anesthesia. Cleansing enemas are used to relieve constipation, and a retention enema is used to administer a medication, soften stool, and lubricate the rectum so that it is easier and more comfortable for the client to defecate. Finally, the data in this question does not indicate that the client is constipated and in need of a laxative. (See Enemas and Urinary/Fecal Diversion in Healthcare ) 6.​ Which of the following is a key competency of an LPN in managing elimination processes? Select all that apply. A.​ Perform bladder irrigations as per physician order B.​ Perform blood transfusion alone C.​ Apply barrier creams or ointments to incontinent clients D.​ Administering anesthesia

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