1. Provide f the f client f with f a f walker.
2. Remove fthe ftelemetry fequipment.
3. Encourage fthe fclient fto fcough fand fdeep fbreathe.
4. Premedicate fthe fclient fwith fan fanalgesic fbefore fambulating.
2. A fclient fis fwearing fa fcontinuous fcardiac fmonitor, fwhich fbegins fto
falarm fat fthe fnurse's fstation. fThe fnurse fsees fno felectrocardiographic
fcomplexes fon fthe fscreen. fThe fnurse fshould fdo fwhich ffirst?
a. Call fa fcode fblue.
b. Call fthe fhealth fcare fprovider.
c. Check fthe fclient fstatus fand flead fplacement.
d. Press fthe frecorder fbutton fon fthe fECG fconsole.
3. 3) fThe fLPN/LVN fin fa fmedical funit fis fcaring ffor fa fclient fwith fheart
ffailure. fThe fclient fsuddenly fdevelops fextreme fdyspnea,
ftachycardia, fand flung fcrackles, fand fthe fnurse fsuspects fpulmonary
fedema. fThe fnurse fimmediately fnotifies fthe fregistered fnurse fand
fexpects fwhich finterventions fto fbe fprescribed? f Select fall fthat fapply.
pg. f1
, a. f Administering foxygen
fb. Inserting fa fFoley fcatheter
c. Administering ffurosemide f(Lasix)
d. Administering f morphine f sulfate fintravenously
e. Transporting fthe fclient fto fthe fcoronary fcare funit
f. Placing fthe fclient fin fa flow-Fowler's fside-lying fposition
4. The fnurse fis fmonitoring fa fclient ffollowing fcardioversion.
fWhich fobservations fshould fbe fof fhighest fpriority fto fthe
fnurse?
a. Blood f pressure
b. Status fof fairway
c. Oxygen fflow frate
d. Level fof fconsciousness
5. The fnurse fis fassisting fin fcaring ffor fthe fclient fimmediately
after finsertion fof fa fpermanent fdemand fpacemaker fvia fthe fright
subclavian fvein. fThe fnurse fprevents fdislodgement fof fthe fpacing
fcatheter fby fimplementing fwhich fintervention?
a. Limiting fmovement fand fabduction fof fthe fleft farm
b. Limiting fmovement fand fabduction fof fthe fright farm
c. Assisting fthe fclient fto fget fout fof fbed fand fambulate fwith fa
fwalker f4. fHaving fthe fphysical ftherapist fdo factive frange
fof fmotion fto fthe fright farm
pg. f2
,6. A fclient fdiagnosed fwith fthrombophlebitis f1 fday fago fsuddenly
fcomplains fof fchest fpain fand fshortness fof fbreath, fand fthe fclient
fis fvisibly fanxious. fThe fLPN/LVN funderstands fthat fa flife-
threatening fcomplication fof fthis fcondition fis fwhich?
a. Pneumonia
b. Pulmonary f edema
c. Pulmonary f embolism
d. Myocardial f infarction
a. Smoking fhistory
b. Recent f exposure f to fallergens
c. History fof frecent finsect fbites
d. Familial ftendency ftoward fperipheral fvascular fdisease
a. "Smoking f cessation f is f very f important."
b. "Moving f to fa fwarmer fclimate fshould f help."
c. "Sources fof fcaffeine fshould fbe feliminated ffrom fthe fdiet."
4. f"Taking fnifedipine f(Procardia) fas fprescribed fwill
fdecrease fvessel fspasm."
10. The fLPN/LVN fis fcollecting fdata fon fa fclient fwith fa fdiagnosis
f ofright fsided fheart ffailure. fThe fnurse fshould fexpect fto fnote fwhich
f specific fcharacteristic fof fthis fcondition?
a. Dyspnea
b. Hacking fcough
c. Dependent f edema
d. Crackles fon flung fauscultation
11. The fLPN/LVN fis fchecking fthe fneurovascular fstatus fof fa fclient fwho
freturned fto fthe fsurgical fnursing funit f4 fhours fago fafter f undergoing
fan faortoiliac fbypass fgraft. fThe faffected fleg fis fwarm, fandthe fnurse
fnotes fredness fand fedema. fThe fpedal fpulse fis fpalpable f and
a. Moderately fimpaired, fand fthe fsurgeon fshould fbe fcalled
b. Normal, fcaused fby fincreased fblood fflow fthrough fthe fleg
c. Slightly fdeteriorating, fand fshould fbe fmonitored ffor
fanother fhour
d. Adequate ffrom fan farterial fapproach, fbut fvenous
fcomplications fare farising
12. A fclient fwith fa fdiagnosis fof frapid frate fatrial ffibrillation fasks fthenurse
f why fthe fhealth fcare fprovider fis fgoing fto fperform fcarotid fmassage.
f The fLPN/LVN fresponds fthat fthis fprocedure fmay fstimulate fwhich?
a. Vagus fnerve fto fslow fthe fheart frate
b. Vagus f nerve fto fincrease fthe fheart frate
c. Diaphragmatic fnerve fto fslow fthe fheart frate
d. Diaphragmatic fnerve fto fincrease fthe fheart frate
13. A fclient fis fadmitted fto fthe fhospital fwith fpossible frheumatic
f endocarditis. fThe fLPN/LVN fshould fcheck ffor fa fhistory fof fwhich ftype
f of finfection?
a. Viral f infection
b. Yeast finfection
c. Streptococcal f infection
d. Staphylococcal f infection
14. A fclient fhas fan fUnna fboot fapplied ffor ftreatment fof fa fvenous
f stasis fleg fulcer. fThe fLPN/LVN fnotes fthat fthe fclient's ftoes fare
f mottled,
pg. f4
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