1. During the initial physical assessment of a newly admitted client with a pressure
ulcer, a LPN observes that the client's skin is dry and scaly. The
... [Show More] nurse applies
emollients and reinforces the dressing on the pressure ulcer. Legally, were the
nurse's actions adequate?
- The nurse provided supportive nursing care for the well-being of the
client.
2. A visitor comes to the nursing station and tells the nurse that a client and his
relative had a fight and that the client is now lying unconscious on the floor. What
is the most important action the LPN/LVN needs to take?
A Ask the client if he is okay.
- Ask security to make sure the room is safe
3. To ensure the safety of a client who is receiving a continuous intravenous
normal saline infusion, the LPN should change the administration set every
- 72 to 96 hours
4. A LPN/LVN is taking care of a client who has severe back pain as a result of a
work injury. What nursing considerations should be made when determining the
client's plan of care? Select all that apply.
- Ask the client what is the client's acceptable level of pain.
Administer the pain medications regularly around the clock
5. The LPN/LVN is preparing to administer eardrops to a client that has impacted
cerumen. Before administering the drops, the nurse will assess the client for which
contraindications?Select all that apply
- Allergy to the medication
Drainage from the ear canal
Tympanic membrane rupture
6. What clinical indicators should the LPN/LVN expect a client with hyperkalemia
to exhibit? Select all that apply
- Diarrhea
Weakness
Dysrhythmias
7. A health care provider has prescribed isoniazid (Laniazid) for a client. Which
instruction should the LPN give the client about this medication?
- Drinking alcohol daily can cause drug-induced hepatitis
8. To minimize the side effects of the vincristine (Oncovin) that a client is
receiving, what does the LPN/LVN expect the dietary plan to include?
- High in fluids
9. A postoperative client says to the nurse, "My neighbor, I mean the person in the
next room, sings all night and keeps me awake." The neighboring client has
dementia and is awaiting transfer to a nursing home. How can the LPN/LVN best
handle this situation?
- Move the neighboring client to a room at the end of the hall
10. The nurse is providing postoperative care to a client who had a submucosal
resection (SMR) for a deviated septum. The LPN should monitor for what
complication associated with this type of surgery?- Expectoration of blood [Show Less]