NCLEX-PN

Explanation: The correct answer is (C) , as it represents proper ergonomic practice when assisting a client in getting out of bed. (C), which involves aiding the client in sitting or standing by lifting with the legs and keeping the back straight, aligns with safe techniques that minimize the risk of musculoskeletal strain or injury for both the LPN and the client. This approach ensures a more even distribution of weight and relies on the strength of the legs rather than placing undue stress on the back. In contrast, (A) and (B) are incorrect, as bending over the client or lifting them into a standing position using leg and back muscles can potentially lead to back strain. (D) is also incorrect, as allowing the client to use the LPN's body for support may compromise stability and increase the risk of falls. Therefore, (C) is the most appropriate and ergonomic method for assisting the client in this scenario. (See Proper Body Mechanics: Lifting and Moving ) 18. The LPN is caring for assigned clients.The LPN should first check the client with A.​ sickle cell disease who has new onset pain rated as 9 on a scale of 0-10 B.​ pneumonia who has a temperature of 100.6F (38.1 C) and is receiving IV antibiotics C.​ Graves disease who has a heart rate of 110/min and a blood pressure of 122/85 mm Hg D.​ diabetes mellitus who has an elevated serum glucose level and is requesting insulin lispro prior to a meal Correct Response: A Explanation: The correct answer is (A) . Sickle cell disease is an inherited blood disorder characterized by the transformation of red blood cells (RBCs) into a sickle shape when deoxygenated, which can lead to clumping and blood flow obstruction during conditions like dehydration, stress (e.g., infection), and hypoxia. This results in acute pain episodes known as vaso-occlusive crises due to impaired blood flow and tissue ischemia. Immediate recognition and intervention are crucial to prevent irreversible tissue damage, such as myocardial infarction or stroke. (B), (C) , and (D) describe manifestations in other clinical scenarios, such as fever in pneumonia, tachycardia in Graves disease, and hyperglycemia in diabetes mellitus, which may require attention but can be safely delayed or managed appropriately within their contexts. The priority for the LPN is the timely and focused care of the client experiencing a vaso-occlusive crisis. (See Prioritization ) 19. The LPN is discussing a breach of the standard of care with a nursing student. The LPN uses which of the following situations as an example of negligence? A.​ The UAP (Unlicensed Assistive Personnel) fills a water basin with warm water while the client with depression combs her hair. B.​ The nurse transcribes a new medication order: Questran powder 2 oz bid with wet food or one full glass of water. C.​ The nurse checks the distal pulses of a client's legs two hours after they have returned from a cardiac catheterization. D.​ The nurse observes a UAP enter the room of a client on contact precautions wearing gloves and a gown. Correct Response: C. The nurse checks the distal pulses of a client's legs two hours after they have returned from a cardiac catheterization.

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