Hessey Review LPN

The nurse is reinforcing discharge teaching to a client diagnosed with tuberculosis who has been taking medication for 1½ weeks. The nurse knows that the client has understood the information if which statement is made?

"I should not be contagious after 2 to 3 weeks of medication therapy."

The nurse reinforces home care instructions to a client diagnosed with systemic lupus erythematosus and instructs the client about methods to manage fatigue. Which statement by the client indicates a need for further teaching?

"I should take hot baths because they are relaxing."

The nurse is admitting a client with a diagnosis of agoraphobia. Which behaviors exhibited by the client would support this diagnosis? Select all that apply.

-alone at home -elevator -on a bridge -airplane

The student nurse is learning about leadership and management. The student knows that which are the main styles of group leadership? Select all that apply.

-autocratic -democratic -laissez faire

The nurse on a behavioral health unit is having a therapeutic discussion with a client and recognizes that which communication techniques would be nontherapeutic? Select all that apply

-minimize feelings -changing the subject -asking "why"

A depressed client verbalizes feelings of low self-esteem and self-worth typified by statements such as "I'm such a failure. I can't do anything right!" Which action should the nurse take?

Identify recent behaviors or accomplishments that demonstrate skill or ability.

A client is recovering at home after suffering a brain attack (stroke) 2 weeks ago. A home caregiver tells the home health nurse that the client has some difficulty swallowing food and fluids. Which nursing action would be appropriate?

Observe the client feeding himself or herself.

A client with type 1 diabetes mellitus in the first trimester of pregnancy is scheduled for a primary health care provider's visit. The client asks the nurse whether a change in the medication to treat the diabetes will occur at this time. Which statement is true?

Your normal insulin dosage will have to be decreased."

Which client is the safest one for a licensed practical nurse (LPN) to care for?

a client recovering from c/s

The nurse enters a client's room and finds that the wastebasket is on fire. The nurse quickly assists the client out of the room. Which is the next nursing action?

activate the fire alarm

The nurse notes that a client is due in hydrotherapy for a burn dressing change in 30 minutes. The nurse plans to take which action next in the care of this client?

administer an opioid analgesic last taken 6 hours ago

The nurse is performing tracheal suctioning on an assigned client. The nurse uses which parameter as the accurate indicator that suctioning has been effective?

breath sounds are now clear

A pregnant client experienced a uterine rupture with subsequent fetal death. After ensuring that the client is physiologically stable, the nurse should take which approach as the first step to support the client psychologically?

collect data regarding how the client perceived the event

The nurse is caring for a client with severe depression. Which activity is appropriate for this client?

drawing

The nurse is caring for a client with epididymitis. The nurse anticipates noting which group of findings on data collection?

fever, n/v, painful scrotal edema

A mental health nurse caring for a client diagnosed with mania selects which activity for this client?

going for a walk with staff

The metabolic panel of a client reveals a calcium level of 6.5 mg/dL (1.6 mmol/L). Based on this laboratory finding, which additional data specific to this calcium level should the nurse collect? Select all that apply.

-presence of chvostek's sign -tingling of fingertips and around mouth -presence of carpal spasm -presence of ecg abnormalities

The nurse is talking with a client who is going to have a radical neck dissection and total laryngectomy. Which client statement indicates a need for further teaching concerning postoperative management?

i will need to take a lot of pain meds after surgery

The nurse is assisting in caring for a client with pneumonia who suddenly becomes restless. Arterial blood gases are drawn, and the results reveal a Pao2 of 60 mm Hg. The nurse reviews the plan of care for the client and determines that which priority problem potentially exists for this client?

ineffective gas exchange

The nurse notes bilateral 2+ edema in the lower extremities of a client with known coronary artery disease who was admitted to the hospital 2 days ago. Based on this finding, the nurse should implement which action?

review the intake and output for the last 2 days

The nurse is monitoring a client following a motor vehicle crash. Which finding would indicate a need for chest tube placement?

sob & tracheal deviation

The low-exhaled volume (low-pressure) alarm sounds on a ventilator. The nurse rushes to the client's room and checks the client to determine the cause of the alarm but is unable to do so. Which would be the next immediate nursing action?

ventilate the client with resuscitation bag

The primary health care provider prescribes fluconazole for the client. When administering this medication the nurse should explain to the client that it is prescribed to treat which opportunistic infection?

yeast infection

The licensed practical nurse is assisting the registered nurse in admitting a client with an exacerbation of schizophrenia and knows that which signs/symptoms displayed by the client are considered positive symptoms? Select all that apply.

-hallucinations -neologisms -delusions