When confirming telephone orders or other communication, the LPN/LVN documents:

1. By whom the telephone order was received.
2. By whom the verbal order was received.
3. Agency protocol.
4. 100% read back.


4
Rationale: Not all telephone communication involves orders; it can involve laboratory information.

Nursing

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A democratic leader takes a vote on every decision that must be made in a care setting

Indicate whether the statement is true or false

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A laboratory finding indicative of disseminated intravascular coagulation (DIC) is:

a. Decreased fibrinogen. b. Increased platelets. c. Increased hematocrit. d. Decreased thromboplastin time.

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Which of the following interventions would the nurse need to keep in mind when a loop colostomy of a client is to be opened?

A) Provide the client with plenty of fluids before the procedure. B) Prepare the client for the pungent odor before the procedure. C) Elevate the client's legs before and during the procedure. D) Note the color and amount of fecal material during the procedure.

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After genetic testing, a client is found to have a specific mutation in the a1AT gene (al-pha1-antitrypsin). What is the best action for the nurse to take to guide the client?

a. Advise scheduling an annual mammogram and ovarian ultrasound. b. Assess whether close family members have other identified genetic problems. c. Suggest limiting exposure to secondhand smoke and other respiratory irritants. d. Advise that cancer may be a risk but not a certainty for this mutation.

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