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Exam (elaborations)

LVN EXIT RETAKE EXAM

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LVN EXIT RETAKE EXAM

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  • September 25, 2024
  • 7
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • LVN EXIT RETAKE
  • LVN EXIT RETAKE
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leonardmuriithi061
LVN EXIT RETAKE EXAM


Physiological Needs - ANSWER Oxygenation
Circulation
Nutrition
Elimination
Fluid balance
Activity and exercise
Rest and Sleep

Maslow's Hierarchy of Needs - ANSWER physiological
Safety and security
Love and Belonging
Self esteem
Self Actualization

safety and security needs - ANSWER Living in a safe environment
Adequate income
Shelter from environment elements

love and belonging needs - ANSWER Love
Affection
Relationships

Involvement with community and spiritual groups help to meet this need

Self Esteem Needs - ANSWER Self respect
personal worth
social recognition

Self actualization needs - ANSWER personal growth
fulfilling own potential

Maslow's belief: very few individual reach this level

LVN 4 steps nursing process - ANSWER Data collect FIRST
Planning
Implementation
Evaluation

Least restrictive interventions - ANSWER Close and constant supervision
Assessing medications
Bed and wheelchair alarms
Mattress on floor next to client's bed

Least invasive interventions
Incontinent clients on bladder routine
Incentive spirometers/inhalation tx

, Oral or rectal administration of medications

Circulation - ANSWER 3rd highest priority
heart rate and BP with expected reference range necessary for adequate cardiac,
cerebral, and peripheral perfusion

chemical and/or physical cardiac support
resuscitation
supplemental fluids (to reestablish intravascular fluid volume and BP)

Safety and Risk Reduction Framework: - ANSWER safety risk to client
Greatest risk to client
Significance of risk compared to other risks

Survival Potential Framework - ANSWER Emergent- class I/highest
priority/immediate tx: chance for survival

Urgent- Class II/ serious and extensive injuries/ do not pose immediate threat to life/
potential for survival even with delayed tx

Nonurgent-Class III/ less serious and less extensive/ no threat

Expectant- Class IV/ potential survival does not exist even with tx

Acute vs. Chronic - ANSWER Acute needs may be more of a threat

chronic needs usually develop over period of time

Attend to alteration in acute phase before they evolve into chronic alteration

Assess circulatory status - ANSWER BP
Urinary output
Skin turgor
Pulse

3 point crutch gait - ANSWER pt stand and bear weight on the unaffected leg

transfer body weight to the crutches

advance the unaffected leg between the crutches

shift weight from the crutches to the unaffected leg

go up stairs is to align crutches on the stair

Sodium levels - ANSWER 136-145 mEq/L

high:
-report to PCP
-give hypotonic fluids

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