Reference no: EM133843356

Question

1. The LPN/LVN arrives at the clients hoe to perform a sterile dressing change. The client tells the LPN/LVN, "The nursing assistive personnel changed my dressing for me this morning. "Which action by LPN/LVN is most important?"

1. Tell the client that the NAP sis a good job.

2. Report the NAP to the director of the home care agency

3. Notify the RN supervisor about the situation

4. Ask the client to describe the dressing change.

2. The LPN cares for the client experiencing fluid volume overload and who has serum sodium level of 155 meq/L. Which intervention is the most important for the LPN to anticipate?

1. Restrict dairy sodium

2. Increase dietary sodium

3. Add an IV fluid of D5 0.45% sodium chloride

4. Add an IV fluid of 0.9 sodium chloride

3. The client insists the LPN remove the vest restraints "immediately". Which action by the LPN is best?

1. Explain to the client that the restraint is in place to keep the client safe.

2. Orient the client to the surroundings.

3. Ask the client why the restrain was ordered.

4. Check the health care provider's order to determine the criteria for removing the restraint.

4. The LPN understands that thickened toe nail that are yellow in color are caused by which reason?

1. Malnutrition

2. Peripheral vascular disease

3. A fungal infection

4. The presence of pulmonary disease

5. The LPN obtains vital signs from an adult client T 97.6 F, P 80 beats/min, R28 breaths/min, and BP 110/60 mm/HG. The LPN takes which action next?

1. Reports the vital signs to the registered nurse in charge.

2. Compares radial pulse rate to apical pulse rate for one full minute.

3. Documents the vital signs and repeats vital signs in two hours.

4. Repositions the client and repeats measurement of the blood pressure.

6. Which client statements indicates to the LPN the heart catherization teaching was effective?

1. "This procedure is exactly the same as an angioplasty."

2. "This procedure will involve dye being injected, but x-ray will not be used."

3. "The complications of this procedure may include a scar where the catheter is inserted. "

4. "Blood sample may be drawn during this procedure and pressures measured."

7. The LPN comes upon a multi-car accident. Which individual is treated first?

1. An older adult who is disoriented to time and place.

2. A child appearing to have a fractured arm.

3. A middle-aged adult with a large hematoma at the hairline.

4. A young adult with no visible injuries and who is acting dazed.