The patient with migraine headaches has a seizure. After the seizure, which action can you delegate to the nursing assistant? A. Document the seizure B. Perform neurologic checks C. Take the patient’s vital signs D. Restrain the patient for protection Correct Answer: C. Take the patient’s vital… Read More »
You are preparing to admit a patient with a seizure disorder. Which of the following actions can you delegate to LPN/LVN? A. Complete admission assessment B. Set up oxygen and suction equipment C. Place a padded tongue blade at the bedside D. Pad the side rails before the patient arrives … Read More »
A 37-year-old male client was admitted to the coronary care unit (CCU) 2 days ago with acute myocardial infarction. Which of the following actions would breach the client’s confidentiality? A. The CCU nurse gives a verbal report to the nurse on the telemetry unit before transferring the client to that unit. B. The… Read More »
A male client arriving in the emergency department is receiving cardiopulmonary resuscitation from paramedics who are giving ventilation through an endotracheal (ET) tube that they placed in the client’s home. During a pause in compressions, the cardiac monitor shows narrow QRS complexes and a heart rate of beats/minute with a palpable pulse. Which of the… Read More »
After receiving a change-of-shift report at 7:00 AM, which of these patients will you assess first? A. A 23-year-old with a migraine headache who is complaining of severe nausea associated with retching. B. A 45-year-old who is scheduled for a craniotomy in 30 minutes and needs preoperative teaching. C. A 59-year-old with Parkinson’s… Read More »
The patient with a cervical SCI has been placed in fixed skeletal traction with a halo fixation device. When caring for this patient the nurse may delegate which action (s) to the LPN/LVN? Select all that apply. A. Check the patient’s skin for pressure from the device. B. Assess the patient’s neurologic status for… Read More »
All of these nursing activities are included in the care plan for a 78-year-old man with Parkinson’s disease who has been referred to your home health agency. Which ones will you delegate to a nursing assistant (NA)? Select all that apply. A. Check for orthostatic changes in pulse and blood pressure. B. Monitor for… Read More »