In which of the following ways does the LPN/LVN contribute to the nursing process? Select all that apply. Standard Text: Select all that apply
1. Stocking the client's room with needed supplies
2. Giving the client a bath and back rub
3. Changing the client's linen
4. Documenting the client response to Tylenol given for a fever
5. Notifying the RN of deteriorating vital signs
4,5
Rationale 1: The LPN/LVN contributes to the nursing process by documenting and reporting client response to treatment. The other options are necessary routine care that contribute to client comfort and care but do not contribute to the nursing process.
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A child presents to the unit with a history of petit mal seizures. After one such episode, the nurse correctly documents that "The client:
1. "Became unconscious, and all four extremities were jerking uncontrollably for two minutes.". 2. "Was sitting very still and stared off into space for a period of two minutes.". 3. "Repeatedly moved from the chair to the bed while touching her arms for a length of two minutes.". 4. "Pulled her arms in toward her body and flexed her hands over her chest. This lasted two minutes.".
A nurse gathers information about the condition of homes, size of lots, neighborhood hangouts, road conditions, and modes of transportation. Which method of data collection is being used?
a. Participant observation b. Windshield survey c. Focus group d. Informant interviews
Is there anything you would do differently? Explain
To reconstitute Zyprexa®, you would inject ________ of Sterile Water for Injection into the medication vial.
Fill in the blank(s) with the appropriate word(s).