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A licensed practical nurse is working in the emergency department. She is caring for a client who has been involved in a motor vehicle accident. The client has a suspected neck injury. The nurse should intervene if which of the following is observed? - CORRECT ANSWER-The client's neck is immobilized before being x-rayed A 14 years old female client develops an "iatrogenic" infection at the catheter insertion site. The nurse documents the infection is a result of which of the following? - CORRECT ANSWER-Improper nursing care
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A licensed practical nurse is working in the emergency department. She is caring for a client who has been involved in a motor vehicle accident. The client has a suspected neck injury. The nurse should intervene if which of the following is observed? - CORRECT ANSWER-The client's neck is immobilized before being x-rayed A 14 years old female client develops an "iatrogenic" infection at the catheter insertion site. The nurse documents the infection is a result of which of the following? - CORRECT ANSWER-Improper nursing care A nurse is reviewing an elderly patient's chart before giving medications. Which new patient information should be reported to the physician? - CORRECT ANSWER-Low serum albumin The nurse informs a graduate nurse on a postpartum unit that the human chorionic gonadotropin (HCG) would no longer be detected in the client's blood at: - CORRECT ANSWER-One week postpartum When providing nutritional counseling for patients at risk for coronary artery disease, which foods would the nurse encourage patients to include in their diet (select all that apply)? - CORRECT ANSWER-Tuna fish Tofu Walnuts Which of the following items are not routinely required when isolating a patient? - CORRECT ANSWER-Sterile latex gloves To measure the pulse during adult cardiopulmonary resuscitation (CPR), the LPN should use which of the following arteries? - CORRECT ANSWER-The carotid artery When teaching a patient about dietary management of stage 1 hypertension, which instruction is most appropriate? - CORRECT ANSWER-Restrict sodium intake The patient has just returned from a liver biopsy. The patient should be positioned on the: - CORRECT ANSWER-on the right side for 2 hours
A nurse is discussing the care plan for a client discharged with methyldopa (Aldomet). The nurse should tell the client that orthostatic hypotension may be modified by: - CORRECT ANSWER-Sitting on the edge of the bed a short time before arising The nurse is caring for a client who can no longer make medical decision due to dementia. Which of the following nursing interventions would be most appropriate? - CORRECT ANSWER-Discuss with the family what the patient's wishes would be if she could make those decisions herself A licensed practical nurse is monitoring a 62-year-old client who is undergoing a treadmill stress test. Which client finding will require the most immediate action? - CORRECT ANSWER-Chest pain level of 3 (on a scale of 10) The nurse is providing teaching to a patient recovering from an MI. How should resumption of sexual activity be discussed? - CORRECT ANSWER-Discussed along with other physical activities The licensed practical nurse receives four clients. Which of the following is most likely to have a seizure? - CORRECT ANSWER-The client with a brain tumor The nurse is caring for a client with a open head trauma. A CT of the head reveals a large left parietal area bleed. While assisting the patient with her personal care, it is noted that she is unable to comb her hair with her left hand. The patient may have which of the following? - CORRECT ANSWER-apraxia A newly hired nurse receives a client from the emergency room with orders. The client's chart states his diet consists of small serving sizes of solid foods, but does not contain whole grain cereals or salads with raw, fresh fruits and vegetables. The nurse is aware the client follows a: - CORRECT ANSWER-Soft diet When assessing the abdomen, how long must the nurse listen to the abdomen to be able to accurately chart that bowel sounds are absent? - CORRECT ANSWER- 5 minutes Which of the following organs is found in the pelvic cavity? - CORRECT ANSWER- bladder A nurse is caring for a client who has a bacterial infection. The bacteria is unresponsive to aminoglycosides and penicillins. The doctor orders a full culture and sensitivity on all body fluids. The nurse is aware the results will take: - CORRECT ANSWER-Several days The stroke patient who has difficulty with speech has: - CORRECT ANSWER- expressive aphasia
A licensed practical nurse is assigned a client with hypervolemia. The client's morning assessment reveals bounding peripheral pulses, weight gain of 2 lb, pitting ankle edema, and moist crackles bilaterally. Which order written by the physician takes priority at this time? - CORRECT ANSWER-Administer furosemide 60 mg PO stat A nurse is caring for a patient who is expected to live just a few more hours. The client has no specific orders for organ donations. The nurse understands that organ donation:
nurse would be to - CORRECT ANSWER-Apply oxygen at 15 lpm via a non rebreather mask