Practice Question
Four hours after rhinoplasty, a client is swallowing repeatedly. Which priority action should the practical nurse (PN) take?
Answer Choices:
Correct Answer:
Use penlight to assess pharynx for bleeding.
Rationale:
🔦 Repeated swallowing after rhinoplasty may indicate posterior nasal bleeding, even if external bleeding is not visible.
🔦 The priority action is to inspect the oropharynx using a penlight for signs of blood trickling down the throat, which could lead to aspiration or airway compromise.
🔦 This type of bleeding is not always visible externally and must be identified promptly to prevent complications.
🔦 Early detection allows the healthcare team to take immediate action to control bleeding and ensure airway safety.
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This question is from Hesi Specialiaty-LPN Med Surg Exam. which contains 57 questions.
More Questions from This Exam
The practical nurse (PN) is assisting a client who is performing peritoneal dialysis catheter self-care before being discharged home. Which behavior indicates that the client needs additional teaching?
Answer Choices:
A. Coughs over the catheter site while cleansing the skin.
B. Wears one sterile glove when cleansing the insertion site.
C. Washes hands before opening the 4 by 4 dressing packet.
D. Pours antiseptic solution and sterile water on sterile dressings.
A client has a PRN prescription for a nasal cannula at 2 to 3 L/minute. The client is wearing a nasal cannula at 2 L/minute and asks the practical nurse (PN) if it can be removed. Which client data is most important for the PN to obtain before responding to the client?
Answer Choices:
A. Apical heart rate.
B. Breath sounds.
C. Oxygen saturation.
D. Blood pressure.
A client is diagnosed with a seizure disorder and is completing testing before discharge from the healthcare facility. What information should the practical nurse (PN) reinforce to avoid the incidence of seizure episodes? Select all that apply.
Answer Choices:
A. Carry phone number of Epilepsy Foundation at all times.
B. Stay well rested and avoid a large caffeine intake.
C. Avoid flashing lights and excessive visual stimuli.
D. Seek a safe place if sensing dizziness or sensory disturbances.
E. Generic medications are safe to substitute for trade name brands.
A client is recovering from a transurethral prostatectomy. Which activity should the practical nurse (PN) reinforce with the client to limit until after the first postoperative visit?
Answer Choices:
A. Driving a car.
B. Eating high-fiber foods.
C. Kegel exercises.
D. Walking around the house.
A client is receiving a unit of packed red blood cells (PRBCs). Which is the first action the practical nurse (PN) should take if the client begins to shake and reports feelings of nausea and vomiting?
Answer Choices:
A. Administer a PRN prescription for an antiemetic.
B. Flush the IV tubing with sodium chloride.
C. Notify the healthcare provider.
D. Stop the blood infusion.
Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN HESI Exams
- Domain: Med-Surgical
- Answer Choices: 4
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