The LPN/LVN can have several responsibilities regarding the client's assessment, and it is most important to know:
1. The difference between a complete and focused assessment.
2. The scope of practice defined by the state board of nursing.
3. Who can delegate to the LPN/LVN.
4. The sequence of assessment.
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Rationale: It is important to know the difference between the types of assessment; however, it is not the most important consideration.
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When a patient recovering from a fractured tibia asks what callus formation is, the nurse tells her it is:
a. when blood vessels of the bone are compressed. b. a part of the bone healing process after a fracture when new bone is being formed over the fracture site. c. the formation of a clot over the fracture site. d. when the hematoma becomes organized and a fibrin meshwork is formed.
Lidocaine-induced convulsions can be managed best with the use of intravenous:
a. digoxin. b. diazepam. c. verapamil. d. quinidine.
You are working with an elderly client whose memory has become progressively worse over the past 2 years. Her husband, because of her worsening incontinence, brought this client to the geriatric clinic
During the evaluation, you also learn that she is beginning to have difficulty finding her way home from the grocery store, which is only a few blocks away, and that she is becoming increasingly suspicious and paranoid. In helping the husband understand the paranoid behavior that his wife is exhibiting, you would offer which of the following explanations? a. "The paranoia and suspiciousness are due to unresolved feelings of guilt." b. "As memory worsens, paranoia and suspiciousness often occur." c. "The reason for the suspiciousness should be discussed with the person with dementia." d. "The paranoid behavior is certain to get much worse as the disease progresses."
A nurse is caring for a client who has late stage Alzheimer dementia. Which should be the nurse's priority intervention?
A) Improve cognitive status by encouraging involvement in social activities. B) Decrease social isolation by providing group therapies. C) Promote dignity by providing comfort, safety, and self-care measures. D) Facilitate communication by providing alternative methods.