An RN and an LPN/LVN, both of whom have several years of experience in the intensive care unit, are caring for a group of clients. Which client will be appropriate for the RN to assign to the LPN/LVN?
A. A client with pulmonary edema who requires hourly monitoring of pulmonary artery wedge pressures
B. A client who was admitted with peripheral vascular disease and needs assessment of the ankle-brachial index
C. A client who has intermittent chest pain and requires teaching about myocardial nuclear perfusion imaging
D. A client with acute coronary syndrome who has just been admitted and needs an admission assessment
Ans: B. A client who was admitted with peripheral vascular disease and needs assessment of the ankle-brachial index
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A patient who has been prescribed phenytoin (Dilantin) reports gum swelling around the teeth. What is your best action?
a. Tell the patient to document this unexpected change by taking a photograph. b. Instruct the patient to stop the drug and notify the prescriber immediately. c. Teach the patient to visit the dentist regularly and brush and flow carefully. d. Remind the patient to clean teeth gently with dental swabs and avoid flossing.
The nurse is caring for a patient who has had pneumonia twice in the last 6 months. Which of the following does this suggest to the nurse?
1. Immunodeficiency 2. Poor self-care habits 3. Poor air quality in the home 4. Poor nutritional status
Which statement made by a parent indicates an understanding about the management of a child with cellulitis?
a. "I am supposed to continue the antibiotic until the redness and swelling disappear.". b. "I have been putting ice on my son's arm to relieve the swelling.". c. "I should call the doctor if the redness disappears.". d. "I have been putting a warm soak on my son's arm every 4 hours.".
Which of the following is common with otitis media?
a. Skin rash b. Headache c. Tinnitus d. Vomiting