Quiz 1
The nurse is trying to establish an effective relationship with a patient in pain. What is the best statement for the nurse to make when beginning the assessment?
"I believe you are in pain."; establish an effective relationship.
To share assessment findings and pain relief interventions, which documentation sample is the most helpful?
1600: Patient reports sharp pain in left chest radiating to neck. Morphine sulfate 5 mg administered IM in right deltoid.
The nurse prioritizes the care of four patients. Which patient has a systemic infection?
40-year-old with AIDS; AIDS is a systemic viral infection. Acute appendicitis and urinary tract infections are local infections. Arthritis is not an infection.
The nurse is trying to reassure a patient who is concerned about receiving addictive drugs. What percentage of patients become addicted to analgesics?
Less than 1%
A long-term care facility is committing to a restraint-free environment. What will the health care workers implement to encourage this environment? (Select all that apply.)
Maintain toileting routines. Explain all procedures and treatments. Frequent orientation to surroundings.
An LPN/LVN is asked by the RN to administer an IV chemotherapeutic agent to a patient in the acute care setting. What law should this nurse refer to before initiating this intervention?
Nurse practice act
The nurse is assessing a patient's skin for signs of impaired skin integrity. Which finding by the nurse is considered a major manifestation?
Pressure injury
What is the purpose of licensing laws for LPN/LVNs?
Protection of the public from unqualified people
What can result from the nurse consistently performing hand hygiene and using sterile supplies when caring for patients in the hospital setting?
Risk of infection is reduced
The new LPN/LVN is concerned regarding what should or should not be done for patients. What resource will best provide this information?
Standards of care
The home health nurse is preparing to educate a patient regarding electronic self-blood pressure measurement. What information should the nurse provide regarding this procedure? (Select all that apply.)
Stethoscope is not required. Cuff fits over clothing. Proper measurement techniques are necessary.
The nurse obtains information from a patient about the site, severity, and duration of the pain. What type of data is this considered?
Subjective data
The nurse counsels the immobilized patient in regard to prevention of muscle atrophy and contractures. What will the nurse be sure to include when counseling this patient?
The need for some type of exercise
One reason the nurse focuses on oral hygiene is to maintain a healthy state of the oral cavity. What is another reason to promote oral hygiene?
To stimulate appetite
What skills should health care workers frequently attend in-services about to ensure that staff has competent skills and risk for falls can be decreased?
Transferring
What important safety precaution should the home health nurse teach parents in order to prevent burns to small children?
Turn pot handles on stoves away from reach.
How may a newly licensed LPN/LVN practice?
Under the supervision of a health care provider or RN
A nurse instructs a unlicensed assistive personnel about the proper use of a gait belt and is observing a return demonstration. What action by the unlicensed assistive personnel should cause the nurse to intervene?
Unlicensed assistive personnel is walking on the patient's strong side. The nurse should walk on the patient's weaker side so that assistance may be given if the patient starts to fall.
The patient's pulse is below 60 beats/min. The nurse is aware that the patient is not receiving digoxin. What does the nurse suspect is causing the bradycardia?
Unrelieved severe pain
What should the nurse do to reduce the effort of moving a heavy object?
Widen the base of support in the direction of movement.