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Practice Question

While receiving report for a client with carcinoma in situ of the left breast, the practical nurse (PN) reviews a pending lab report and notices increased levels of Anti-Glycan Neu5Gc Antibodies (AGNA). Which changes should the PN anticipate to be included in the client's plan of care?

Answer Choices:

Correct Answer:

Initiation of changes in infection control measures.

Rationale:

🔷 Anti-Glycan Neu5Gc Antibodies (AGNA) target a non-human sugar (Neu5Gc) found in animal-derived tissues and foods, which can trigger immune activation and inflammation when incorporated into human cells.

🔷 Carcinoma in situ is a non-invasive cancer with high curability, but increased AGNA levels in this context raise concern for inflammatory complications and delayed healing post-treatment.

🔷 The presence of AGNA may heighten the client's risk for postoperative or radiation-induced infections, due to immune responses at tissue sites where Neu5Gc is deposited.

🔷 The plan of care should include enhanced infection prevention protocols, such as prophylactic antibiotics, sterile dressing changes, and frequent monitoring for early signs of infection.

🔷 This approach aims to reduce wound complications, safeguard surgical recovery, and enhance immune protection due to the client’s immunological sensitivity.

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This question is from PN Comprehensive Predictor~2023 Exam 2 which contains 176 questions.

More Questions from This Exam
The practical nurse (PN) observes an unlicensed assistive personnel (UAP) performing oral hygiene on an unconscious client who is lying in a flat side-lying position with an emesis basin on the bedside table near the chin. Which action should the PN take?

Answer Choices:

A. Enroll the UAP in a hospital education class on conducting safe client care.
B. Stop the procedure and tell the UAP to place the client in a Fowler's position.
C. Praise the UAP for doing oral hygiene but encourage family participation.
D. Tell the UAP to continue because the unconscious client is positioned safely.
A woman who delivered a normal newborn 24 hours ago reports, "I seem to be urinating every hour or so. Is that OK?" Which action should the practical nurse (PN) implement?

Answer Choices:

A. Catheterize the client for residual urine volume.
B. Measure the next voiding, then palpate the client's bladder.
C. Evaluate for normal involution, then massage the fundus.
D. Obtain a specimen for urine culture and sensitivity.
Prior to giving digoxin, the practical nurse (PN) assesses that a 2-month-old infant's heart rate is 120 beats/minute. Based on this finding, what action should the PN take?

Answer Choices:

A. Administer the medication and alert the charge nurse.
B. Hold the medication and document cardiac assessment.
C. Administer the medication and document the heart rate.
D. Hold the medication and recheck the heart rate in 1 hour.
Before administering an antibiotic that can cause nephrotoxicity, which laboratory value is most important for the practical nurse (PN) to review?

Answer Choices:

A. Serum calcium.
B. Serum creatinine.
C. Hemoglobin and Hematocrit.
D. White blood cell count (WBC).
At the first dressing change, the practical nurse (PN) tells the client that her mastectomy incision is healing well, but the client refuses to look at the incision and refuses to talk about it. Which response by the PN to the client's silence is best?

Answer Choices:

A. "It's OK if you don't want to look or talk about the mastectomy. I will be available when you're ready."
B. "Would you like me to call another nurse to be here while I show you the wound?"
C. "Part of recovery is accepting your new body image, and you will need to look at your incision."
D. "You will feel beter when you see that the incision is not as bad as you may think."
From Exam
PN Comprehensive Predictor~2023 Exam 2

176 Questions

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Question Details
  • Category: LPN Nursing Exam(s)
  • Subcategory: LPN ATI Exit Exam(s)
  • Domain: Exit Exam(s)~2023
  • Answer Choices: 4
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