The registered nurse assigns a client who has an open burn wound to a licensed practical nurse (LPN). Which instruction should the nurse provide to the LPN when assigning this client?
a. "Administer the prescribed tetanus toxoid vaccine."
b. "Assess the client's wounds for signs of infection."
c. "Encourage the client to breathe deeply every hour."
d. "Wash your hands on entering the client's room."
ANS: D
Infection can occur when microorganisms from another person or from the environment are transferred to the client. Although all of the interventions listed can help reduce the risk for infection, handwashing is the most effective technique for preventing infection transmission.
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A patient with stable angina is being treated with a beta-blocker. What assessment finding would most cause the nurse to question the use of this medication?
A) Heart rate 60 at rest, denies dizziness when standing B) Systolic blood pressure 82, complains of chronic fatigue C) Sinus rhythm with rare premature atrial complexes (PACs) D) Diastolic blood pressure 80 with normal pulse pressure
Technical and scientific changes have resulted in a multiplicity and complexity of functions placed on nurses, and sometimes job descriptions have not been rewritten. The role of the LPN/LVN is constantly:
a. enlarging. b. changing. c. improving. d. growing.
A client has been prescribed phenylephrine (Neo-Synephrine) spray for nasal congestion. Which information about adverse effects should the nurse provide in discharge teaching?
A. "This drug may cause some stinging or burning in your nose." B. "You may notice that your nasal secretions take on a slightly orange tint." C. "You may feel like your blood pressure is low for the first few times you use this spray." D. "Rebound congestion may occur if the prescription is used more than a few days." E. "Do not drink herbal teas while taking this medication."
The nurse is caring for a 3-year-old diagnosed with diabetes mellitus. The child's eating patterns are unpredictable. One day the child will eat almost nothing, the next day the child eats everything on her tray. The nurse recognizes that this type of insulin would most likely be used in treating this child?
What will be an ideal response?