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NUR 176 FINAL EXAM HONDROS C OLLEGE
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The LPN is caring for a patient diagnosed with HIV. Which precautions should the LPN take while caring for this individual? Select all that apply. - ANSWER-Wash hands before and after contact with the patient Use needles with a safety cap to reduce the risk of needle sticks Wear gloves when changing bed sheets or patient undergarments
After a recent myocardial infarction (MI) and heart catheterization, cardiac rehabilitation is ordered. The LPN should expect what interventions with this treatment? Select all that apply. - ANSWER-Low sodium (Nat) diet Exercise-based rehab program Lifestyle modification teaching
Which treatment will the nurse anticipate for a patient with open sores and fissures noted on the toes who is complaining of severe pruritus? - ANSWER-Treatment with an antifungal medication
The LPN is caring for a patient who has a latex allergy and is scheduled for surgery later today. What should the LPN do next? - ANSWER-Ask the patient to describe what happens when they are exposed to latex
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pg. 2 The LPN is caring for a patient receiving penicillin started 15 minutes ago per IV.The LP notices that the patient's vitals are R: 32, BP: 80/40, P: 124 presently, with severe wheezing and dyspnea. Which interventions will the LPN expect to be implemented immediately? Select all that apply. - ANSWER-Maintain patent airway ** Administer IM Epinephrine as ordered Administer oxygen per order
A client has been admitted to the clinic with primary syphilis.Which sign or symptom should the nurse expect to see with this diagnosis? - ANSWER-A painless genital ulcer that appeared about 3 weeks after unprotected sex
The LPN is caring for a patient with a viral infection. Which medication would the LPN expect to be ordered for the treatment of this condition? - ANSWER- Acyclovir (Zovirax)
Which assessment finding is most indicative of late elevated intracranial pressure (ICP)? - ANSWER-Dilated and fixed pupils bilaterally
The LPN is caring for a patient with a butterfly rash on the face.The client is complaining of numbness, tingling in the legs and arms, and being sore all over. Which laboratory tests does the LPN anticipate being ordered for this patient? - ANSWER-ANA (Anti-nuclear antibody) and CRP (C-reactive protein)
A client is diagnosed with scabies. Upon assessment, the LPN anticipates which findings may be noted? Select all that apply - ANSWER-Brown crusty lines around wrist or skin folds ** Red bumps and severe itching (pruritus) 2 / 4
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The nurse is caring for a patient diagnosed with lupus. Which signs or symptoms would the LPN expect could be present related to this condition? Select all that apply - ANSWER-Butterfly rash on the face Low endurance with activity Joint pain ** Sensitivity to sunlight
The nurse is educating the parents of a 22-month- old toddler assessed with head lice (pediculosis). Which action will the nurse teach to the parents - ANSWER- Using Vaseline product to coat the hair
The LPN is caring for a patient who states "It feels like I am peeing razor blades." Which assessment data and interventions should the LPN include in the plan of care? Select all that apply. - ANSWER-Request an order for a specimen culture for suspected gonorrhea Ask if the client has had unprotected sex recently ** Assess the patient for any purulent drainage from the urethra or rectum
The nurse is providing care for a patient recently diagnosed with genital herpes.Which statements should the nurse provide to this client? Select all that apply - ANSWER-"You will need to keep your immune system healthy to reduce the risk of exacerbation." ** "Oral sex with your partner can infect them with this condition also." ** "This virus can lay dormant in your body for years." ** "It is important to practice safe sex at all times to reduce the risk of transmission." **
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pg. 4 The nurse is caring for a patient with diabetes mellitus who is concerned about developing long-term complications. Which interventions would the nurse educate the patient on as best practices? Select all that apply. - ANSWER-Ensure daily foot exams are done by the patient ** Request annual renal function tests by your doctor ** Maintain ideal LDL under 70mg/dL for optimal health
Which statement made by a client with a chlamydial infection indicates understating of the potential complications - ANSWER-"I need to treat this infection so it doesn't spread into my pelvis because I want to have children someday."
A client is receiving clopidogrel (Plavix). Which symptoms should the nurse monitor for while the patient is on this medication? (Select all that apply) - ANSWER-Blood in the stool Ecchymosis Hematuria Patechiae
The nurse is assisting a client who was just diagnosed with celiac disease complete their menu. Which lunch option would be the best choice for the patient - ANSWER-Stir-fry vegetables with rice and orange slices
The nurse is review the client's medication list and notices that the patient takes phenytoin(Dilantin). Which question is the nurse most likely to ask? - ANSWER- "When was the last time you had a seizure?"
The nurse is caring for a client reporting weight gain, nausea, and decreased urine output. Which condition should the nurse suspect? - ANSWER-Right-sided heart failure
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