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The LPN is caring for a client scheduled for an endoscopic procedure. Which statement by the patient demonstrates a need for more education?
"I wont eat before the procedure, but I can have fluids to drink immediately after it is done.
The client presents to the emergency department with BP 200/130, blurred vision, severe, headache, and a history of hypertension (HTN) Labs show elevated LDL and triglyceride levels, also. The LPN suspects the client is experiencing which acute condition?
. Malignant hypertension
The doctor orders: Kanamycin 7.5 mg/kg IM q 12 hrs. The available dose is Kanamycin 0.35G/ml. What dose will the nurse administer for a client weighing 157 lbs.
1.5 ml
A 50 year old female client arrives at the emergency department *ED) reporting shortness of breath (SOB), nausea, and coll clammy skin. What test should the LPN expect to be ordered by the physician based on this information?
12 lead EKG
The doctor has ordered clindamycin 600mg in 150 ml D5W in infuse over 2hrs How many ml/hr should the IV pump be set at
75ml/hr
The LPN is preparing a diet plan for a client diagnosed with a chronic renal failure. What dietary choices would be best for this client to consume?
Apples and green beans
The LPN is caring for a client in sickle cell crisis with severe pain. Which intervention would be a priority to be initiated?
Administration of oxygen
A client presents to the ED with a low grade fever of 100 degrees F, WBC of 12500 and rebound tenderness (Rovsing's sign) with severe pain in the RLQ of teh abdomen. The diagnosis is acute appendicitis. The LPN should anticipate which priority intervention to be carried out by the nurse?
Administration of pain on inhalation
The LPN is caring for a client experiencing severe edema who has been on loop diuretic therapy. Teh lab result shows a potassium level of 2.9. The LPN would expect to see a change in current medication order to which new medication?
Aldactone (Spironalatone)
While caring for a client diagnosed with severe anemia, which assessment and interventions should be taught to the client (Select all that apply)
Alternate periods of rest and activity, Monitor urine and stool for s/s of bleeding , proper temperature control for optimal circulation
The LPN is caring for a client 6 days post total knee replacement. Which interventions should be included in the plan of care(Select all that apply)
Application of compression stockings during the day. Assess pedal pulses every shift and PRN. Administer Urokinase (Kinlytic). Encourage physical activity as tolerated
The PN is caring for a client with recent diagnosis of (CHF) Congestive Heart Failure with right side heart involvement. Which assessment data will the nurse expect to see related to an exacerbation of this condition? (Select all that apply)
Ascites, Weight gain
The LPN is caring for a client diagnosed with Crohn's disease. They complain of soft stools, small amounts of blood and mucous in the stool frequently. What action will the nurse take initially.
Ask more information about the findings and discuss options
The LPN is teaching a client with a history angina who is taking aspiring 81mg PO qd. Which statement best indicates the patient understands the education provided? Aspirin will act as an antiplatelet to thin my blood, allowing blood to flow easier.
Aspirin will act as an antiplatelet to thin my blood, allowing blood to flow easier
The LPN would report which lab results to the RN as a concern? (Select all that apply)
Aspirin will act as an antiplatelet to thin my blood, allowing blood to flow easier
The LPN is caring for a patient with a history of hypertension and smoking. Teh patient is concerned about developing a DVT (deep vein thrombosis). Which action should the LPN take to address this condition (Select all that apply)
Assess for increased warmth on the calf areas. Assess for circulation, than apply proper compression therapy as indicated. Assess for pain and swelling of the calf on the affected leg
The LPN has just administered Digoxin (lanoxin) as ordered to the client. The nurse will assess the effectiveness of this medication by obtaining which assessment data?
Assessing for a regular heart rhythm
Which tasks can the LPN delegate to the (UAP) unlicensed assistive personnel? (Select all that apply)
Assist patient to dining room, Empty Foley and record amount
The client is admitted to the cardiac unit with a diagnosis of angina and a stress test as ordered for the client. The client states to the LPN, "I am not able to walk on a treadmill so I will not take the test." What action will the LPN take first?
Collect more information to determine why the patient is unable to walk
A client is admitted with suspected heart failure and the LPN calls the physician for orders. Which order does the LPN expect to receive related to assessment of this condition?
BNP and CXR
The LPN is caring for a client with a history of sickle cell anemia. The client is asking about ways to reduce exacerbation. What should the LPN say to address this concern? (Select all that apply)
Be sure to reduce stress from extreme environmental temperatures when possible. Be sure to drink 6-8 glasses of water daily. Get plenty of rest and relaxation to reduce mental stress
The LPN recognizes the need to look at which lab values when reviewing the renal status of a client (Select all that apply)
Blood Urea Nitrogen (BUN), Creatinine test
The LPN is teaching dietary practices to a client diagnosed with heart failure. Which foods should the nurse educate the client to avoid?
Canned soup or frozen meals
Teh PN is caring for a 64 yr old client who has undergone a femoral cardiac catheterization. To predict and manage potential complications, what action will the LPN implement initially following the procedure?
Check vital signs and puncture site for bleeding
The LPN is assessing a client who is complaining of itching. The LPN observes dusky, yellow/tan, and slightly gray pigmentation on the bilateral lower extremities, and interprets these findings as a complication of which disease process
Chronic renal failure
What is the purpose of continuous bladder irrigation after a TURP procedure
To prevent blood clots from forming.
The LPN is caring for a client diagnosed with BPH with elevated PSA levels. Which information would be most important for the LPN to collect related to this condition
Difficulty with urinary retention
The client complains of sharp stabbing pain when walking recently. The LPN recognizes which test and assessments might be requires? (Select all that apply)
Doppler of lower extremity, Measuring circumference of both legs, Assess pedal pulses in lower extremities, Assessment of both lower extremities
The LPN is taking care of a client with a diagnosis of chest pain to rule out myocardial infarction (MI). The client is scheduled for a percutaneous transluminal coronary angioplasty (PTCA). Which statement by the client indicates a need for additional teaching regarding the procedure
During the procedure, I will be unconscious
The LPN is caring for a client with pernicious anemia. Which symptom needs to be reported to the RN immediately
Dyspnea
The LPN is caring for a client with left sided heart failure. Which signs and symptoms are indicative of left sided heart failure? (Select all that apply)
Dyspnea, Orthopnea, Pulmonary Crackles
The LPN is caring for a female client with positive lab results for e-coli urinary tract infection. What should be included in the education for this client
Educate on proper peri-care practices
The LPN is caring for a client who is overweight, smokes and has a family history of Coronary artery disease (CAD). Which intervention would be best to include in the plan of care?
Educate on weight management and smoking cessation.
The LPN is reviewing discharge instructions with a client who has a colostomy. Which instruction should be included in the discharge plans?
Ensure stoma wafer is fit properly around the stoma
The LPN is caring for a client after a stroke. The patient stated to the LPN, "When I cough or sneeze, I'm peeing on myself. I always need to use the commode but never make it in time. What action will the LPN take in response (Select all that apply.)
Establish a routine for a toileting schedule, educate the patient on how to do Kegel exercises.
The LPN is caring for a patient with severe anemia. Which lab test could help with determining the cause of the anemia.
Hemoccult
The LPN is evaluating the side effects of the drug finasteride (Proscar). Which statement indicates the patient may be experiencing a side effect of the drug?
I am having a problem with maintaining an erection
The LPN is providing teaching to a client diagnosed with Celiac disease. Which statement by the client indicates proper understanding of the disease process?
I can learn to adjust to a gluten free diet.
The LPN is obtaining a health history on a client diagnosed with high cholesterol, and hypertension who smokes 2 packs per day (ppd) The LPN is teaching the client about risk factors for heart failure. Which statement by the client indicates the need for further teachig
I will eat better and then I wont need to exercise.
Teh LPN is caring for a client diagnosed with sickle cell anemia. Which statement by the client indicates a need for further teaching?
I will need to take a B12 shot for the rest of my life
The LPN is caring for a client experiencing difficulty with elimination. Which statement by the client indicates a need for further teaching?
I will reduce my fluid intake to prevent excessive voiding
A client newly diagnosed with heart failure (HF) is prescribed digoxin (Lanoxin). Which statement by the LPN indicates an understanding of proper administration of this medication
If the heart rate is below 60 I will hold the dose and inform the doctor
The LPN is caring for a client after a renal angiogram with contrast. Which intervention should the LPN implement?
Increase fluids to flush the contrast
The LPN is caring for a client who smokes and is diagnosed with diabetes mellitus and hypertension. They are asking for ways to prevent developing peripheral vascular disease (PVD). Which interventions would the LPN include in the education? (Select all that apply)
Initiate smoking cessation to be initiated. Eat a heart healthy diet regularly. Go for a walk every night after dinner
The LPN is caring for a client scheduled for a barium swallow study. The LPN would include which statement in the education
It is important to increase fluid intake to prevent complications
The nurse is aware that clients with pacemakers should avoid which procedure
MRI
The LPN is discharging a client after successful bariatric (Gastric) surgery. Which information should be included in the plan of care related to this procedure
May need to be on B12 injections for life
The LPN is caring for a client in the emergency department who is diagnosed with a myocardial infarction. Teh LPN begins to initiate MONA. Which medications or treatments are included in this process
Morphine, Oxygen, Nitroglycerine, Aspirin
The nurse is assessing a client with a history of severe CAD (coronary artery disease), and should expect to observe which symptoms related to this condition?
Periods of chest pain even when at rest
The LPN is caring for a client with a diagnosis of a pulmonary embolism. Which symptom would be the priority to address
Pink frothy sputum (hemoptysis)
The LPN is admitting a client to the emergency department (ED) who reports substernal crushing chest pain that radiates down the left arm. What action will the LPN implement to best predict and manage potential complications?
Place the patient on a heart monitor
The LPN reviews discharge instructions with a client taking furosemide (Lasix). Which effects will the LPN anticipate related to this treatment?
Polyuria and weight loss
Teh client is complaining of recent difficulty taking a deep breath, and abdominal swelling. eh client has a history of right side heart failure. Which condition does the nurse suspect?
Possible abdominal ascites
The LPN is caring for a client taking furosemide (Lasix). What lab result would be a priority assessment for this client related to the medication
Potassium level
The LPN is caring for a client who has been diagnosed with heart failure and complaining of severe dyspnea. The client is coughing up pink frothy sputum and has a 02 sat of 87% What is the most appropriate nursing intervention to prevent further complications
Pull the client up in bed and administer oxygen as ordered.
The LPN has administered dialysate to a client receiving peritoneal dialysis. Teh LPN notices the dialysate fluid is flowing very slowly into the drainage bad. What action should the LPN take next?
Re-position the patient
The LPN is caring for a client with impaired kidney function who is receiving furosemide (Lasix) 40mg IV daily. Which information requires action by the nurse
Serum potassium level of 3.0 mEq/L
The LPN is aware that clients exhibiting lethargy, weakness, and shortness of breath on exertion , are potential signs of which condition?
Severe anemia
The LPN is caring for a patient with a DVT. Which assessment finding would be a priority to report immeditely to the RN?
Severe sharp pain on inhalation
The LPN is providing care to a client diagnosed with renal failure who has a potassium level of 6.2 mEq/L. Which medication should the LPN anticipate being ordered related to this status?
Sodium polystyrene sulfonate (Kayexalate)
The LPN is caring for a client with a sickle cell anemia exacerbation. What assessment date would require immediate intervention?
SpO2 reading of 87% on oxygen
An LPN is caring for a client post colonoscopy procedure. The LPN notices abdominal distension, and rectal bleeding during completion of a focused assessment. What complication might these findings indicate?
Suspected bowel perforation
An LPN is teaching a client proper Nitroglycerin administration. Which statement by the client indicates proper understanding of how to take this medication?
Take 1 tablet every 5 minutes. After 3 tablets if unresolved call 911
The LPN is caring for a client diagnosed with cystitis. Which statement is correct related to this condition.
The client is at risk for urinary tract infection
The LPN is caring for a client who has developed benign prostatic hyperplasia (BPH). Which is usually the cause of dysuria with this condition?
The prostate enlarges causing constriction to the urethra
The LPN student is performing a blood pressure test on a client who has a right upper arm AV fistula. What action indicates the need for further teaching?
The student performs the blood pressure on the right arm carefully.
The LPN is assisting a client newly diagnosed with hemophilia and asks for an explanation. Which response would be best from the LPN? (Select all that apply)
This condition is caused by absence of blood clotting factors. If you are injured you will most likely need a blood or plasma transfusions, due to this condition. You should use an electric razor for safety unless you are on oxygen therapy.
The LPN is assessing a client and determines they are experiencing severe hypertension based on which findings? (select all that apply)
Unexplained nosebleeds, visual disturbances, awakening with a headache
Which assessment finding by the LPN is considered a common part of the elderly aging process (Select all that apply)
Urinary frequency, urinary urgency, Nocturia
The LPN is caring for an 86 year old client who was alert and oriented the previous day and now is confused, agitated and incontinent. What should the LPN recognize as the possible cause?
Urinary tract infection
The LPN is caring for a client diagnosed with a DVT. The patient is on warfarin (Coumadin) and a heparin drip. The client asks the nurse why they are on two different blood thinners. Which response by the Lpn shows understanding of the medication?
Warfarin(Coumadin) takes several days to reach therapeutic levels in the blood
The LPN is caring for a client diagnosed with chronic renal failure, who is receiving hemodialysis today. Which priority nursing intervention will the LPN implement?
Weigh the client before and after dialysis
The LPN is caring for a client diagnosed with cystitis who develops frequent urinary tract infections. The client asks how to prevent this form happening again. Which statement by the LPN indicates an understanding of how to best to reduce the risk of this type of infection?
You should fully empty your bladder and drink more fluids.
The LPN is completing discharge planning on a client diagnosed with atrial fibrillation. What instruction will the LPN include for this client who will be taking Coumadin at home?
Your dose will be dependent on the PT values taken on a routing basis. Your therapeutic values for INR should be between 2.0 and 3.0
The LPN is monitoring a client during a hemodialysis procedure. What is the LPN's priority assessment during the procedure to prevent potential complications?
maintain vitals, dialysis site and sterile technique
