Fundamentals LPN

After finding vesicles on the client's arms and legs, the nurse suspects poison ivy. Which definition best describes a vesicle?

A lesion filled with serous fluid Rationale: A vesicle is a small blister-like elevation on the skin containing serous fluid. Vesicles are usually transparent. Common causes of vesicles include herpes, herpes zoster, and dermatitis associated with poison oak or ivy. A lesion filled with purulent drainage is known as a pustule; an erosion into the dermis is known as an excoriation or ulcer; and a solid mass of fibrous tissue is known as a papule.

In a rehabilitation care center, a team member assists the coordinator in the development and implementation of a care plan. Which team member is involved in this situation?

A rehabilitation licensed practical nurse is responsible for assisting the client in creating and implementing a treatment plan. A rehabilitation health care provider is a team member and coordinator of the program. A rehabilitation registered nurse provides support and educates the client and family about the rehabilitation process. A vocational rehabilitation counselor helps the client obtain training for new or current employment.

Healthcare team roles

A speech-language pathologist plays a role in designing a rehabilitation communication program. A physical therapist designs an exercise program. A clinical psychologist acts as an emotional evaluator. A rehabilitation registered nurse acts as a coordinator and educator.

Which definition would the nurse use to describe assault while teaching parents about child abuse?

Assault is a threat or an attempt to do violence to another. Assault implies harm to persons rather than property.

Which statement describes a nurse asking the staff about a change in a client's plan of care?

Authority

Which term would a nurse use to describe the explanation of who is in charge, the lines of communication, and the responsibilities and expected behaviors given by a team leader?

Brief

Which discharge instruction would the nurse include for a client being sent home with an indwelling urinary catheter?

Change the drainage bag at least once a week as needed.

Which information would be included in the discharge instructions for the parents of a child who is being treated with oral ampicillin for otitis media?

Complete the entire course of antibiotic therapy. Once antibiotic therapy is initiated, the antibiotics start to destroy specific bacteria that are causing infections that the health care provider is trying to treat. A specific dose and number of days on antibiotic therapy are required to completely eliminate the bacteria. If the caregivers start a dose and stop it before the course is complete, the remaining bacteria have a chance to grow again, become resistant to antibiotic treatment, and multiply.

The nurse asks the unlicensed assistive personnel (UAP) to provide an ice pack to a client. Which nursing function does this represent?

Delegation is the assignment of a nursing task to someone else who is able or qualified to perform the task. Implementation is a part of the nursing process where the nurse carries out the care plan for a client. Case management is the collaborative effort of care planning and advocacy to make sure that a client's and family's needs are met. The interprofessional team is made up of professionals from several different disciplines who work together in the provision of care to the client.

When discussing the delegation of client tasks such as assistance with daily living activities, which statement about accountability would the nurse leader include?

"Remaining answerable for one's choices to oneself and others characterizes accountability." Rationale: Accountability is remaining answerable for one's choices to oneself and others. Authority is the ability to perform duties in a specific role. Responsibility is the obligation and dependability to accomplish work. Legal authority is the ability to delegate responsibility for a task to a competent individual.

A client with type 1 diabetes complains of hunger, thirst, tiredness, and frequent urination. Based on these findings, which action would the nurse take?

Determine the client's blood glucose level.

Which of Gardner's tasks involves anticipating client outcomes for single clients or families and helping them formulate their vision of future well-being?

Envisioning goals Envisioning goals is one of Gardner's tasks of leading. It involves anticipating client outcomes for single clients/families and helping clients formulate their vision of future well-being

Envisioning goals is one of Gardner's tasks of leading. It involves anticipating client outcomes for single clients/families and helping clients formulate their vision of future well-being

It involves establishing one-way communication with the group.

Which phase in disaster management does the nurse understand as the attempt to limit a disaster's impact on human health and community function?

Mitigation

A client who was using a walking frame (walker) is instructed to use a tripod walking stick. Which member of the rehabilitation team would recommend this modification?

Occupational therapist

Which right of delegation is followed when the nurse considers the qualification of the unlicensed nursing personnel (UNP) before delegating a task?

Person The knowledge and experience to perform the specific task safely by the delegatee is assessed by the qualification of the delegatee, which determines whether he or she is the right person.

hyperglycemia.

Polyphagia, polydipsia, lethargy, and polyuria indicate hyperglycemia.

Which action could be performed by a rehabilitation registered nurse (RN)?

Promotes independence

The rehabilitation team is caring for an older adult client, who is completely immobile, with a history of knee replacement. Which member of the team reinforces education about the processes of rehabilitation provided to the client and family members?

Rehabilitation licensed practical nurse/registered nurse Rationale: An older bedridden client with a history of knee replacement may experience joint stiffness. It is a duty of a rehabilitation licensed practical nurse/registered nurse to reinforce education about the processes of rehabilitation provided to the client and family members. The physical therapist provides therapy and training and assesses the client's needs. The rehabilitation registered nurse provides the education itself as well as support and also promotes independence. The vocational rehabilitation counselor helps the client find training for new or continued employment.

Which rehabilitation team member plays a role in designing a rehabilitation communication program?

Speech-language pathologist

five phases in the disaster management continuum

There are five phases in the disaster management continuum: preparedness, mitigation, response, recovery, and evaluation. In mitigation, there will be plans for attempting to limit a disaster's impact on human health and community function. Recovery includes focusing on stabilizing the community and returning it to the previous status. Response includes implementation of the disaster plan. Preparedness is the preparation of a protective plan that is designed before the event has occurred.