The complete assessment is done when the client is admitted to the healthcare facility. Information that the LPN/LVN might be asked to collect includes: Standard Text: Select all that apply
1. Allergies.
2. Level of ambulation.
3. Nursing diagnoses.
4. Head-to-toe assessment.
5. Fall risk assessment.
1,2,4,5
Rationale: Allergies are an important piece of data to be collected during the health history.
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A patient develops a respiratory rate 6 breaths/min after receiving IV hydromorphone (Dilaudid) 2.0 mg. Which medication should the nurse anticipate administering to this patient after notifying the prescriber of this side effect?
a. Physostigmine (Antilirium) b. Flumazenil (Romazicon) c. Naloxone (Narcan) d. Protamine sulfate
A client comes to the clinic complaining of severe menstrual cramps. She has never been pregnant, has been diagnosed with ovarian cysts, and has had an intrauterine device (IUD) for two years
The most likely cause for the client's complaint is: 1. Primary dysmenorrhea. 2. Secondary dysmenorrhea. 3. Menorrhagia. 4. Hypermenorrhea.
Which is a restraint alternative?
a. Staff assignments are changed daily. b. Floor cushions are placed next to beds. c. Lights are always bright in rooms and hallways. d. The person is kept in his or her room as much as possible.
The nurse knows the components of the ABG are:
a. PO2, pH, PCO2, HCO3 b. O2 sat, pH, CO2 c. AST, ALT d. None of the above