Question

86. All of the following clients assigned to the LPNL.VN rings their call bells, which clients needs the most immediate attention? O A 72-year-old diabetic who is blind says she has to go to the bathroom 0 A 75 year old client who has rheumatoid arthritis ask for pain medication O A client who has a blood transfusion running says her chest hurts A postoperative client says he is in pain and wants a pain shot 0 87. A nurse performs a home care visits to A patient performing peritoneal dialysis at home and observes the Procedure, which of the following actions by the patients would be considered incorrect? 0 The patient is not concerned when the Outflow is slightly tinged red The patient wears a mask when connecting and disconnecting the catheter The patient rocks back and forth to assist outflow the patient is not concerned when The outflow is slightly tinged green 0 89. The LPN/LVN cares for a client diagnosed with sickle cell crisis. The clients son comes to visit his father and the LPN/LVN observes that's the son has an upper respiratory infection it is MOST important for the LPN/LVN to take which action? 0 Inform the son that he cannot visit his father 0 Instruct the son to stand at least 6 feet away from his father give the son a mask to wear when visiting his father demonstrate to the son that's correct way to put on a gown and glove 00. The LPN observes nursing care administered by a UAP which of the following actions if noted by the LPN, would require further teaching? o the UAP gives a blankets to a patient who complains she is cools the new UAP ambulates a patient two days post hysterectomy o The U AP administers a bed pan to the comatose patient with the help of another you UAP The UAP places the eye shield of a patient with bells palsy on the bedside table and turns out the lights so that the patient can rest 01. The home care LPNLVN visit a client diagnosed with type 1 diabetes, although the client serum glucose continues to be about 250 mg/dL, the client to administer only half of the prescribed dose of insulin the LPNLVN identifies his behavior as an example of what? Bargaining Projection Denial Fear

Answer 1

86.Always care has to be given on the priority of severity or dangers to life out of a procedure or situation.Here patient who complaints of chest pain has to be attended immediately without any delay because it be due to increase myocardial load and may be fatal if not treated appropriately

A patient who has pain surgical followed by medical has to be attended consecutively

The patient can be attended to go to the restroom

Ans:A client who has a blood transfusion running says her heart is hurting

87.The colour of the outflow can be slightly blood tinged, green (presence of bile),using a mask is an infection control practice.The patient should not rock back or front this will lead to dislodgement and pain.It drains with gravitation the patient doesn't want to do anything related to movement of the upper body.

Ans:The patient rocks back and forth to assist flow

89.Airborne infections can be prevented by simply using a mask.If one has a upper respiratory infection,the infection can be prevented by using a face mask.Here the patient is at high risk of getting the infection

Ans:give the son a mask to wear when visiting his father

90.The right intervention to treat a patient who is feeling cold is by providing a blanket to feel warm.

The patient after the first post op day should be definitely mobilised to prevent complications

When patient sleeps the eye glasses,spectacles, or eye shield should be removed and placed aside to ensure comfortness and preventing the fall of the object

A comatose patient cannot respond or neither have a voluntary or involuntary sensation.Giving a bed pan to this patient necessitate the LPN to teach the UAP

Ans:The UAP administers a bed pan to the comatose patient withbthe help of another UAP