You are providing care for a patient with recently diagnosed asthma. Which key points would you be sure to include in your teaching plan for this patient? Select all that apply. A. Avoid potential environmental asthma triggers such as smoke. B. Use the inhaler 30 minutes before exercising to prevent bronchospasm. C. Wash… Read More »
Which of these medication orders for a patient with a pulmonary embolism is more important to clarify with the prescribing physician before administration? A. Warfarin (Coumadin) 1.0 mg by mouth (PO) B. Morphine sulfate 2 to 4 mg IV C. Cephalexin (Keflex) 250 mg PO D. Heparin infusion at 900 units/hr … Read More »
A child with fever has been admitted to the ED for several hours. Cooling measures are ordered by the physician in order for the client’s temperature to come down. Which task would be appropriate to delegate to the nursing assistant? A. Prepare and administer a tepid bath B. Assist the child in removing… Read More »
The nurse just received the client’s morning laboratory results. Which of these results is of most concern? A. Serum sodium level of 134 mEq/L B. Serum potassium level of 5.2 mEq/L C. Serum magnesium level of 0.8 mEq/L D. Serum calcium level of 10.6 mg/dL Correct Answer: C. Serum… Read More »
You are providing nursing care for a newborn infant with respiratory distress syndrome (RDS) who is receiving nasal CPAP ventilation. What complications should you monitor for this infant? A. Pulmonary embolism B. Bronchitis C. Pneumothorax D. Pneumonia Correct Answer: C. Pneumothorax The most common complications after birth… Read More »
The assigned LPN of the unit reports to you that a client’s blood pressure and heart rate have decreased, and when her face is assessed, one side twitches. What is the most appropriate thing to do as a nurse? A. Assess the client’s pupillary reaction to light. B. Obtain a neurologic exam request for the… Read More »
You are acting as a preceptor for a newly graduated RN during her second week of orientation. You would assign the new RN under your supervision to provide care to which patients? Select all that apply. A. A 38-year old with moderate persistent asthma awaiting discharge. B. A 63-year old with a tracheostomy needing… Read More »
You are responsible for the care of a postoperative patient with a thoracotomy. The patient has been given a nursing diagnosis of Activity Intolerance. Which action should you delegate to the nursing assistant? A. Instructing the patient to alternate rest and activity periods B. Encouraging, monitoring, and recording nutritional intake C. Monitoring… Read More »
A client going through intense chemotherapy treatment is admitted to the unit. Which of these would the nurse instruct the nursing assistant to report to prevent an acid-base imbalance? A. Hair loss during the morning bath. B. Complaints of pain associated with exertion. C. Failure to eat all the food on the… Read More »
A patient with a pulmonary embolism is receiving anticoagulation with IV heparin. What instructions would you give the nursing assistant who will help the patient with activities of daily living? Select all that apply. A. Use a lift sheet when moving and positioning the patient in bed. B. Use an electric razor when shaving… Read More »