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When a patient is on Norco, what interventions can prevent constipation? - ✔✔1) Increase mobility and ambulation increase fruits and vegetables in the die administer stool softeners as ordered increase the amount of fluid intake. When caring for a patient who had a total knee replacement 7 hours ago, which patient teaching will the nurse reinforce concerning pain management? - ✔✔1) Instruct the patient to notify the nurse when the pain is low to moderate when requesting pain medication Encourage the patient to take analgesic medications 30 - 45 minutes prior to increased Activity Explain the difference between various analgesic therapies and when best to use them Encourage the patient to alternate rest and activity periods.
- What nursing intervention should be included in the care plan of a patient in order to
improve mobility and minimize complications of immobility? - ✔✔Encourage the patient to participate in ROM exercises Position the patient to maintain proper body alignment, Keep skin clean, dry and protected to prevent skin breakdown Encourage the patient to turn every 2 hours. When assessing a patient with a leg cast, the following data should be a part of the seven P's of orthopedic and peripheral vascular assessment: - ✔✔1) Pain Parestesia Pallor Paralysis Pulseness. The LPN is reinforcing teaching to a patient with left leg injury on the use of crutches While at home, the following should be included in the teaching: - ✔✔advance the strong leg up first when climbing the stairs and step down with the crutches then weak leg first when descending the stairs. The LPN is reinforcing teaching to a patient on how to use a walker for ambulation, the
following to prevent complications: - ✔✔Encourage use of the incentive spirometer while Awake
- Encourage the use of a sequential compression device When instructing a nursing student on how to care for a NG tube, the following will be included in the initial teaching: - ✔✔Assess bowel sounds prior to feeding Obtain a chest X-ray following the initial NG tube placement Secure the NG tube by taping it to the bridge of the patient's nose A patient is due for discharge with an abdominal incision, the LP should reinforce the following when educating the patient on the care of the incision: - ✔✔Wash your hands before and after changing the bandage Proper disposal of the soiled bandage Report any increase in drainage or redness to the physician Change the dressing as ordered
When caring for a patient with a NG tube, which problems can occur with suctioning? - ✔✔Abdominal bloating Red drainage in the suction container Green, reddish drainage in the suction container. Risk factors for cancer of the penis - ✔✔Frequently sexually transmitted infections Over 50 years of age Poor personal hygiene An uncircumsized penis physician ordered Cefazolin 500mg IM every 12 hours. You have 250mg/mL on hand. How many milliliters will you administer per day? - ✔✔-4ml The physician ordered Keflex 250mg by mouth every six hours following a thyroidectomy. You have 125mg/5mL oral suspension on hand. How many milliliters will be administered per day? - ✔✔-40ml patient with type I diabetes receives Metformin Glucophage 1,000mg by mouth twice a day. You have 500mg on hand. How many tablets will be administered per day? - ✔✔- 4 tabs The physician orders Lovenox 40mg to be given subq. You have on hand 40mg/mL How many milliliters will you administer? - ✔✔1 ml
patient recently diagnosed with rheumatoid arthritis and asked the LPN about the goal of treatment. The patient needs further teaching if the patient makes the following statement: - ✔✔will use pillows under my knees when I'm in bed." When reinforcing teaching to a patient who had a total hip replacement about potential postoperative complications, the following statements indicate the patient understands the teaching: - ✔✔"I will call the doctor if I experience increased warmth or redness in my leg"
- "I will use my hip abduction splint to keep my hip in alignment." When caring for a patient with a recent hip replacement, it is important for the nurse to remember when transferring - ✔✔patient that they allow the patient to dangle their feet off the side of the bed for several minutes prior to standing. When caring for a patient who has a cast placed on the left upper extremity, what is the priority assessment? - ✔✔Assess the capillary refill of the affected extremity. When obtaining a health history of a patient diagnosed with rheumatoid arthritis, the patient states "when I'm in pain I take 200 mg of Motrin (ibuprofen)." The following response is appropriate by the LPN: - ✔✔Ibuprofen will help decrease the pain from inflammation.
The following statements made by a patient with osteoporosis regarding the use of Fosamax indicate understanding: - ✔✔I take this medication once a week," "I take the medication with a full glass of water," "I take this medication upon rising in themorning. Osteoporosis is a disease process that indicates the need for the bone mineral density diagnostic exam. - ✔✔ When caring for a patient with a fractured hip, which statement by the patient supports the idea that a pathological fracture has occurred? - ✔✔just noticed my hip hurting but I don't remember falling. The LPN is educating a patient who had hip surgery five days ago, the following statements by the patient indicates the need for further teaching: - ✔✔ok here is your call light let me know when you're ready to lay down," "you are only allowed out of bed for therapy," "your abduction pillow needs to be in place while sitting in the chair," "its ok you can sit up for 2 - 3 hours after two days.' What should the LPN reinforce to the patient with a total hip replacement regarding
The LPN is caring for a patient with a fractured left ankle, the patient is non weight on that left ankle. Which teaching will the LPN reinforce to the patient regarding the use of crutches? - ✔✔The patient would bear weight on the unaffected leg and both crutches. A patient may refuse to ambulate after they saw their roommate fall last week due to fear - ✔✔The same thing will happen to them When ambulating a patient with left sided weakness, the UP should stand on the left side of the patient. - ✔✔ patient with respirations of 34 due to an anxiety disorder, the patient has complaints of dizziness and irritability. Which ABG lab results would you expect to see? - ✔✔pH of 7.49, PACO2 of 29, HCO3 of 24 A patient who complains of thirst and presents with decreased deep tendon reflexes and bone pain, which intervention would the LPN suggest including in the plan of care? Decrease calcium in the patient's diet due to - ✔✔Decrease calcium in the patient's diet due to hypercalcemia. patient is grimacing when attempting to change position. Grimacing is a sign of pain and the nurse should assess the patient's pain using the PQRST pain scale - ✔✔
Further teaching is needed if the following statement is made regarding Fosamax/Altridate sodium: - ✔✔You should take this medication on an empty stomach. patient who presents with Cushing like signs and symptoms is caused by - ✔✔Prednisone/Deltasone. When caring for a patient with osteoarthritis who is taking Norco every 5 - 325mg orally every six hours for pain, the patient requires further teaching regarding complications of Norco if they make the following statement: - ✔✔my last bowel movement was three days ago A patient who is two days postoperative from a total hip replacement has complaints of a productive cough, chills, and shortness of breath. Which interrelated concept would those be a sign and symptom of? - ✔✔Impaired gas exchange. patient with complaints of lumbar pain that worsens with coughing, a history of fractures with no relation to the trauma, and a visible hump on his back, what other sign or symptom would the nurse expect to find? - ✔✔A presence of a stooped posture when thepatient walks. (Indicative of osteoporosis Actions that would require further teaching for a patient with a total hip replacement by the LPN to the UAP for tasks that were delegated: - ✔✔the UAP sat the patient in high fowler's position for 45 minutes to avoid aspiration during meals the UAP changed the hip dressing while bathing the patient
When caring for a patient with orders for strict intake and output, the following can be delegated to the UP - ✔✔measuring and emptying the foley catheter every shift Ampicillin is available in 250mg capsules. The physician ordered 1g (1,000 mg) PO q6h. How many capsules will be administered per dose? - ✔✔ 4 When discussing postoperative exercises with a patient who recently had hip surgery, make sure the patient understands the importance of early ambulation because ambulation increases peristalsis to generate bowel movements. - ✔✔ Vital signs that would indicate hypovolemic shock: - ✔✔temperature of 97.6, pulse of 150, respirations of 20, and blood pressure of 92/56. When checking a patient's surgical wound and note a separation of the incision line with the presence of underlying tissue, apply a sterile soaked gauze and notify the RN and the surgeon because this indicates - ✔✔dehiscence. When documenting wound care, there are certain documentations you will not make such as if you emptied 300mL of clear yellow urine from their foley catheter. - ✔✔
When caring for a patient during a COPD exacerbation the following ABG values would be expected - ✔✔pH of 7.28, PCO2 of 50, and HCO3 of 24. pH of 7.3, PCO2 of 38, and HCO3 of 18 could indicate an underlying cause of kidney failure - ✔✔ The UAP reports a Sp02 reading of 88%, the patient's gel nails and nail polish could've caused the inaccurate SpO2 reading - ✔✔ When a patient with COPD has a pulse ox reading of 90%, use a nasal cannula set at - ✔✔2L/m When a patient who has COPD has labored breathing and is noted to be sitting hunched over the bedside table resting on their forearms - ✔✔They are in the orthopneic position. The student needs further teaching regarding pulses when they make the following statements: - ✔✔l need to check the carotid pulses together to assess if they are equal, "Using my thumb to obtain a pulse is acceptable as long as I can feel the pulse," "Any size cuff can be used to obtain an accurate blood pressure" When reinforcing teaching to a student prior to a nasogastric tube insertion, the following
examples of close-ended questions that can be used to gain specific information: - ✔✔Do you know where you are? Are you experiencing any pain? What is your name and date of birth? Who is the president of the U.S.? Purulent drainage is thick, yellow, green, tan or brown drainage. - ✔✔ Applying a non-medicated barrier cream to incontinent patients can be delegated to the UAP. - ✔✔ The LPN is performing a focused respiratory assessment, the following is included in the assessment: - ✔✔Inspection Zig- zag pattern Posture Sputum Per admission guidelines, an assessment should be completed within 24 hours by the RN. - ✔✔ The LPN is performing an abdominal sterile dressing change with wound irrigation, the
following is the appropriate process in the irrigation technique: - ✔✔position the patient to allow for irrigation from clean to dirty. The LPN is administering insulin to a patient who needs a mixture of regular and intermittent NPH acting insulin, the following is the proper preparation method for this task: - ✔✔Draw up clear to cloudy, Wipe off the top of the insulin vial with alcohol, Roll the PH insulin vial prior to drawing up the insulin. After advancing the urinary catheter 1 - 2 inches into the bladder of a female patient - ✔✔instill water into the balloon The patient is complaining of a pain level of 9 out of 10 with an order of Morphine 5 mg by mouth every 4 hours. The following should be reported: - ✔✔Decreased alertness Decreased respiratory rate Changes in the heart rate A patient presents with a diagnosis of glaucoma. The following complaints by the patient confirms this diagnosis: - ✔✔Halo around lights Tunnel vision Blurred vision Eye pain.
available for their spouse and the physician has advised that the spouse be placed on hospice, the following statements made by the spouse indicate the need for further teaching: - ✔✔Hospice care is too expensive," "My spouse will be forced to take narcotic medications," "My family and I will lose control over his care," "If we go to hospice there is no hope." To alleviate potential guilt for family members and to make the patient's end of life wishes known the nurse can reinforce education to the patient to complete the following documents while still competent: - ✔✔An advance directive A living will. A bereavement coordinator will assist the spouse for up to one year. - ✔✔ When a patient is admitted with diagnosis of an enlarged prostate with complications and has had a TURP, to predicate and manage potential complications - ✔✔An order for continuous bladder irrigation is needed. When providing care to a patient who is postoperative transurethral resection of the
prostate (TURP), the following findings can be expected: - ✔✔Blood clots in the foley catheter tubing Blood in the urine. The following comments by the nurse will help grieving family members express themselves easily:
- ✔✔Tell me how you are feeling" "I understand you are missing your family today." Palliative care allows the patient to: - ✔✔Make a more informed choice Achieve better alleviation of symptoms Have more opportunities to work on issues such as closure. A male patient taking Proscar (brand name)/Finasteride (generic name) which is used for benign prostatic hyperplasia (BPH) understands Proscar if he makes the following statements: - ✔✔I am feeling better since I started taking Proscar," "This will help my kidneys produce more urine" "My partner and I will try not to have a baby at this time"
