A nurse instructing a female patient on obtaining a clean catch urine
specimen should stress to:
Select one:
a. spread the labia apart and clean the centre area first.
b. use a strainer to catch the middle portion of urine.
c. carefully collect the urine in the container as soon as the urine stream
starts.
d. fill the urine cup to the brim to ensure an adequate sample. -
ANSWER spread the labia apart and clean the centre area first., use a
strainer to catch the middle portion of urine.
The nurse caring for a severely dehydrated patient who has a Foley
catheter in place assesses the patient to confirm adequate urine
perfusion by the urine output of _____ mL/hr. - ANSWER There should
be an average hourly urine output of 30 mL.
The nurse is admitting a patient with suspected urolithiasis. An
appropriate nursing intervention in the care of such a patient would be
to: - ANSWER place a strainer into the commode.
The nurse is aware that in the elderly, one of the first signs of a urinary
infection may cause the patient to - ANSWER become disoriented and
confused
A nurse irrigating a patient's indwelling urinary catheter should instill
normal saline as ordered, and then - ANSWER unclamp the tubing and
lower the collection bag.
The LPN (LVN) assigns part of the care for her patients to a nursing
assistant. The LPN is legally required to perform which of the following
for the residents assigned to the assistant? - ANSWER : Give
medications to the residents at the prescribed times.
,The information in a patient's chart may legally be - ANSWER shared
with other health care providers at the patient's request.
When a student nurse performs a nursing skill, it is expected that the
student: - ANSWER achieve the same result as the licensed nurse
Communication is one of the Standards of Practice and Educational
Competencies expected of a graduate of a LPN program. In a few
sentences, explain how the mnemonic SBAR is useful and how it
impacts patient safety. - ANSWER SBAR stands for situation,
background, assessment, and recommendations. It is a tool used to
guide the communication between the nurse and another healthcare
provider to be sure pertinent information is shared. Using SBAR impacts
patient safety because communication errors account for a majority of
sentinel events, and not communicating important information like drug
allergies, could lead to adverse outcomes for the patient.
The nurse caring for a 30-year-old postsurgical patient would assess
that the patient is in pain as indicated by: - ANSWER a pulse rate of 120
beats/min.
The nurse would anticipate a patient diagnosed with damage to the
hypothalamus after suffering a head injury from a fall to exhibit -
ANSWER a temperature abnormality
The nurse taking an apical pulse would place the stethoscope at -
ANSWER the left midclavicular line at the fifth intercostal space.
The nurse would record a pulse as bradycardic if the rate were _____
beats/min. - ANSWER 59
When caring for a victim with a gunshot wound to the abdomen who has
lost a significant amount of blood, the nurse would anticipate the vital
signs to reflect: - ANSWER decrease in blood pressure
The nurse appropriately begins discharge planning when - ANSWER the
patient is admitted to the health care facility.
, The nurse evaluates the effectiveness of teaching relative to how to use
an eye shield after eye surgery is to - ANSWER have the patient
demonstrate that he can secure the eye shield
Differentiate amongst the five different types of pain and give an
example of each type - ANSWER Acute pain usually happens with an
injury, medical condition or surgical. An example would to touch a hot
stove, or shut your finger in the door. The pain is there short period of
time and then resolves itself.
Chronic pain is pain that continues to be there for months or even years.
An example would be arthritis in the joints.
Nociceptive Pain is when the tissues in which the receptors are. An
example would sprain foot.
Neuropathic Pain is when caused by damage or disease to the nervous
system. An example is shingles to the body. Where the nerves are
raised to the surface to the skin.
Phantom Pain is feeling pain to where an existing limb that used to be
there. An example could be feeling a sharp pain in your right foot, but
the right foot was removed.
A nurse caring for a patient with a Fentanyl patch assesses that the
patient is abnormally sleepy, is slurring words and is unsteady when
ambulating. The nurse should: - ANSWER remove the patch and wipe
off the skin.
A natural supplement that can enhance sleep for many people is -
ANSWER melatonin.
The nurse would anticipate a patient diagnosed with damage to the
hypothalamus after suffering a head injury from a fall to exhibit: -
ANSWER a temperature abnormality.
The nurse is caring for a patient complaining of a headache. The nurse
assigns an unlicensed assistive personnel (UAP) to medicate the
patient. This action by the nurse would be an example of: - ANSWER
Delegating an inappropriate task to ancillary personnel
specimen should stress to:
Select one:
a. spread the labia apart and clean the centre area first.
b. use a strainer to catch the middle portion of urine.
c. carefully collect the urine in the container as soon as the urine stream
starts.
d. fill the urine cup to the brim to ensure an adequate sample. -
ANSWER spread the labia apart and clean the centre area first., use a
strainer to catch the middle portion of urine.
The nurse caring for a severely dehydrated patient who has a Foley
catheter in place assesses the patient to confirm adequate urine
perfusion by the urine output of _____ mL/hr. - ANSWER There should
be an average hourly urine output of 30 mL.
The nurse is admitting a patient with suspected urolithiasis. An
appropriate nursing intervention in the care of such a patient would be
to: - ANSWER place a strainer into the commode.
The nurse is aware that in the elderly, one of the first signs of a urinary
infection may cause the patient to - ANSWER become disoriented and
confused
A nurse irrigating a patient's indwelling urinary catheter should instill
normal saline as ordered, and then - ANSWER unclamp the tubing and
lower the collection bag.
The LPN (LVN) assigns part of the care for her patients to a nursing
assistant. The LPN is legally required to perform which of the following
for the residents assigned to the assistant? - ANSWER : Give
medications to the residents at the prescribed times.
,The information in a patient's chart may legally be - ANSWER shared
with other health care providers at the patient's request.
When a student nurse performs a nursing skill, it is expected that the
student: - ANSWER achieve the same result as the licensed nurse
Communication is one of the Standards of Practice and Educational
Competencies expected of a graduate of a LPN program. In a few
sentences, explain how the mnemonic SBAR is useful and how it
impacts patient safety. - ANSWER SBAR stands for situation,
background, assessment, and recommendations. It is a tool used to
guide the communication between the nurse and another healthcare
provider to be sure pertinent information is shared. Using SBAR impacts
patient safety because communication errors account for a majority of
sentinel events, and not communicating important information like drug
allergies, could lead to adverse outcomes for the patient.
The nurse caring for a 30-year-old postsurgical patient would assess
that the patient is in pain as indicated by: - ANSWER a pulse rate of 120
beats/min.
The nurse would anticipate a patient diagnosed with damage to the
hypothalamus after suffering a head injury from a fall to exhibit -
ANSWER a temperature abnormality
The nurse taking an apical pulse would place the stethoscope at -
ANSWER the left midclavicular line at the fifth intercostal space.
The nurse would record a pulse as bradycardic if the rate were _____
beats/min. - ANSWER 59
When caring for a victim with a gunshot wound to the abdomen who has
lost a significant amount of blood, the nurse would anticipate the vital
signs to reflect: - ANSWER decrease in blood pressure
The nurse appropriately begins discharge planning when - ANSWER the
patient is admitted to the health care facility.
, The nurse evaluates the effectiveness of teaching relative to how to use
an eye shield after eye surgery is to - ANSWER have the patient
demonstrate that he can secure the eye shield
Differentiate amongst the five different types of pain and give an
example of each type - ANSWER Acute pain usually happens with an
injury, medical condition or surgical. An example would to touch a hot
stove, or shut your finger in the door. The pain is there short period of
time and then resolves itself.
Chronic pain is pain that continues to be there for months or even years.
An example would be arthritis in the joints.
Nociceptive Pain is when the tissues in which the receptors are. An
example would sprain foot.
Neuropathic Pain is when caused by damage or disease to the nervous
system. An example is shingles to the body. Where the nerves are
raised to the surface to the skin.
Phantom Pain is feeling pain to where an existing limb that used to be
there. An example could be feeling a sharp pain in your right foot, but
the right foot was removed.
A nurse caring for a patient with a Fentanyl patch assesses that the
patient is abnormally sleepy, is slurring words and is unsteady when
ambulating. The nurse should: - ANSWER remove the patch and wipe
off the skin.
A natural supplement that can enhance sleep for many people is -
ANSWER melatonin.
The nurse would anticipate a patient diagnosed with damage to the
hypothalamus after suffering a head injury from a fall to exhibit: -
ANSWER a temperature abnormality.
The nurse is caring for a patient complaining of a headache. The nurse
assigns an unlicensed assistive personnel (UAP) to medicate the
patient. This action by the nurse would be an example of: - ANSWER
Delegating an inappropriate task to ancillary personnel
