A client is admitted to the Emergency Department as a result of a minor motor vehicle accident caused by his falling asleep at the wheel
Information that is appropriate for the nurse to include in the teaching plan for this client includes: Standard Text: Select all that apply. 1. Exercise every day whenever it fits in the schedule.
2. Naps are acceptable, if short.
3. Block out extra noise if possible with a television on in the background.
4. Heavy snacks before bedtime can disturb sleep.
5. Establish a regular bedtime ritual.
2,4,5
Rationale: Daily exercise is important, but avoid excessive physical exertion less than 2 hours before bedtime.
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Which procedure can the nurse safely delegate to the certified nursing assistant who is knowledgeable and experienced in the procedure?
a. Suctioning the newly placed tracheostomy tube b. Suctioning the endotracheal tube c. Suctioning the laryngopharynx d. Suctioning the oropharynx
When conducting an adult otoscopic examination, you should:
a. position the patient's head leaning toward you. b. grasp the handle of the otoscope as you would a baseball bat. c. select the largest speculum that will fit in the canal. d. ask the patient to keep his or her eyes closed.
A patient with suspected meningitis is scheduled for a lumbar puncture. Before the procedure, the nurse will plan to
a. enforce NPO status for 4 hours. b. transfer the patient to radiology. c. administer a sedative medication. d. help the patient to a lateral position.
What factor(s) should the LPN/LVN consider when delegating a task to unlicensed assistive personnel (UAP)? (Select all that apply.)
a. A need for the UAP to voluntarily accept the task delegated b. Continued accountability for the task by the LPN/LVN c. Assurance that the task requires no further need for supervision of the UAP d. An understanding that the task is in the job description of the UAP e. A transfer of authority to the UAP