A client is scheduled for a dipyridamole thallium scan. The LPN/ LVN
should check to make sure that the client has not consumed which
substance before the procedure? - ANS ✓Caffeine
An ambulatory clinic nurse is interviewing a client who is complaining of
flulike symptoms. The client suddenly develops chest pain. Which question
best assists the nurse to discriminate pain caused by a non cardiac
problem? - ANS ✓"Does the pain get worse when you breathe in?"
A client with myocardial infarction (MI) has been transferred from the
coronary care unit (CCU) to the general medical unit with cardiac
monitoring via telemetry. The nurse assisting in caring for the client
expects to note which type of activity prescribed? - ANS ✓Bathroom
privileges and self-care activities
The LPN/LVN is preparing to care for a client who will be arriving from the
recovery room after an above-the-knee amputation. The nurse ensures that
which priority item is available for emergency use? - ANS ✓Surgical
tourniquet
A client is diagnosed with thrombophlebitis. The nurse should tell the
client that which prescription is indicated? - ANS ✓Bed rest, with elevation of
the affected extremity
A client returns to the nursing unit after an above knee amputation of the
right leg. In which position should the nurse place the client? - ANS ✓With
the foot of the bed elevated
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The LPN/LVN is collecting data from a client about medications being
taken, and the client tells the nurse that he is taking herbal supplements for
the treatment of varicose veins. The nurse understands that the client is
most likely taking which? - ANS ✓Bilberry
The LPN/LVN is planning to reinforce instructions to a client with
peripheral arterial disease about measures to limit disease progression.
The nurse should include which items on a list of suggestions to be given to
the client? Select all that apply. - ANS ✓2. Be careful not to injure the legs or
feet.
4. Walk each day to increase circulation to the legs.
5. Cut down on the amount of fats consumed in the diet.
A client is at risk for developing disseminated intravascular coagulopathy
(DIC). The LPN/LVN should become concerned with which fibrinogen level?
- ANS ✓90 mg/dL
A hospitalized client with a history of angina pectoris is ambulating in the
corridor. The client suddenly complains of severe substernal chest pain.
The LPN/LVN should take which action first? - ANS ✓Assist the client to sit or
lie down.
The LPN/LVN notes bilateral 2+ edema in the lower extremities of a client
with known coronary artery disease who was admitted to the hospital 2
days ago. Based on this finding, the nurse should implement which action? -
ANS ✓Reviews the intake and output records for the last 2 days
A client brings the following medications to the clinic for a yearly physical.
The LPN/LVN realizes which medication has been prescribed to treat heart
failure? - ANS ✓Digoxin (Lanoxin)
1. A student nurse is assigned to assist in caring for a client with acute
pulmonary edema who is receiving digoxin (Lanoxin) and heparin therapy.
The nursing instructor reviews the plan of care formulated by the student
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and tells the student that which intervention is unsafe? - ANS ✓Restricting
the client's potassium intake
A client has an inoperable abdominal aortic aneurysm (AAA). Which
measure should the nurse anticipate reinforcing when teaching the client? -
ANS ✓Antihypertensives
The LPN/LVN finds a client tensing while lying in bed staring at the cardiac
monitor. Which is the nurse's best response when the client states, "There
sure are a lot of wires around there. I sure hope we don't get hit by
lightning!"? - ANS ✓"Yes, this equipment is a little scary. Can we talk about how
the cardiac monitor works?"
The LPN/LVN is asked to assist another health care member in providing
care to a client who is placed in a modified Trendelenburg's position. The
nurse interprets that the client is likely being treated for which condition? -
ANS ✓Shock
A client is seen in the health care provider's office for a physical
examination after experiencing unusual fatigue over the last several weeks.
Height is 5 feet, 8 inches, with a weight of 220 pounds. Vital signs are
temperature 98.6° F oral, pulse 86 beats per minute, respirations 18
breaths per minute, and blood pressure 184/96 mm Hg. Random blood
glucose is 110 mg/dL. In order to best collect relevant data, which question
should the LPN/LVN ask the client first? - ANS ✓"When was the last time you
had your blood pressure checked?
The client scheduled for a right femoropopliteal bypass graft is at risk for
compromised tissue perfusion to the extremity. The LPN/LVN takes which
action before surgery to address this risk? - ANS ✓Marking the location of the
pedal pulses on the right leg
When preparing a client for a pericardiocentesis, which position does the
LPN/LVN place the client in? - ANS ✓Supine with the head of bed elevated at a
45- to 60- degree angle
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