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Exam (elaborations)

RN Medical Surgical Drugs

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RN Medical Surgical Drugs

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  • September 13, 2024
  • 12
  • 2024/2025
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RN Medical Surgical Drugs EAQ 2022

During the initial physical assessment of a newly admitted client with
a pressure ulcer, a LPN observes that the client's skin is dry and scaly.
The nurse applies emollients and reinforces the dressing on the pressure
ulcer. Legally, were the nurse's actions adequate? - ANSWER: The nurse provided
supportive nursing care for the well-being of the
client.

A visitor comes to the nursing station and tells the nurse that a client
and his relative had a fight and that the client is now lying unconscious
on the floor. What is the most important action the LPN/LVN needs to take?
A Ask the client if he is okay. - ANSWER: Ask security to make sure the room is safe

To ensure the safety of a client who is receiving a continuous
intravenous normal saline infusion, the LPN should change the
administration set every - ANSWER: 72 to 96 hours

A LPN/LVN is taking care of a client who has severe back pain as a result
of a work injury. What nursing considerations should be made when
determining the client's plan of care? Select all that apply. - ANSWER: Ask the client
what is the client's acceptable level of pain.
Administer the pain medications regularly around the clock

The LPN/LVN is preparing to administer eardrops to a client that has
impacted cerumen. Before administering the drops, the nurse will assess
the client for which contraindications? Select all that apply - ANSWER: Allergy to the
medication
Drainage from the ear canal
Tympanic membrane rupture

What clinical indicators should the LPN/LVN expect a client with
hyperkalemia to exhibit? Select all that apply - ANSWER: Diarrhea
Weakness
Dysrhythmias

A health care provider has prescribed isoniazid (Laniazid) for a
client. Which instruction should the LPN give the client about this
medication? - ANSWER: Drinking alcohol daily can cause drug-induced hepatitis

To minimize the side effects of the vincristine (Oncovin) that a client
is receiving, what does the LPN/LVN expect the dietary plan to include? - ANSWER:
High in fluids

A postoperative client says to the nurse, "My neighbor, I mean the
person in the next room, sings all night and keeps me awake." The

, neighboring client has dementia and is awaiting transfer to a nursing
home. How can the LPN/LVN best handle this situation? - ANSWER: Move the
neighboring client to a room at the end of the hall

The nurse is providing postoperative care to a client who had a
submucosal resection (SMR) for a deviated septum. The LPN should
monitor for what complication associated with this type of surgery? - ANSWER:
Expectoration of blood

A nurse is reviewing a plan of care for a client who was admitted
with dehydration as a result of prolonged watery diarrhea. Which
prescription should the LPN/LVN question - ANSWER: Parenteral albumin
(Albuminar)

A client is to have mafenide (Sulfamylon) cream applied to burned
areas. For which serious side effect of mafenide therapy should the
LPN/LVN monitor this client? - ANSWER: Metabolic acidosis

A LPN is preparing to administer an ophthalmic medication to a
client. What techniques should the nurse use for this procedure? Select
all that apply. - ANSWER: A Clean the eyelid and eyelashes.
.
C Apply clean gloves before beginning of procedure.

E Press on the nasolacrimal duct after instilling the solution.

The LPN/LVN recognizes that which are important components of a
neurovascular assessment? Select all that apply. - ANSWER: B Capillary refill


E Pulse and skin temperature
F Movement and sensation

A client reaches the point of acceptance during the stages of dying.
What response should the LPN/LVN expect the client to exhibit? - ANSWER:
Detachment

A dying client is coping with feelings regarding impending death.
The nurse bases care on the theory of death and dying by Kübler-Ross.
During which stage of grieving should the LPN/LVN primarily use
nonverbal interventions? - ANSWER: Acceptance

When a client files a lawsuit against a LPN for malpractice, the
client must prove that there is a link between the harm suffered and
actions performed by the nurse that were negligent. This is known as: - ANSWER:
Proximate cause

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