The role of the LPN/LVN in the assessment phase of the nursing process is to:
1. Identify client strengths and promote health maintenance.
2. Collect data and observe and report client status to the RN.
3. Develop an individualized care plan.
4. Observe or measure client responses to nursing interventions.
2
Rationale 1: The role of the LPN/LVN in assessing is to collect data, observe client status, and report abnormal data or changes in client condition to the RN.
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The nurse is planning a hypertension-prevention program. What should be the main focus of the nurse when presenting information?
a. Pharmacological treatment b. Surgical interventions available c. Patient education d. Reduction of aerobic exercise
An old-old male patient with type 2 diabetes and negative diabetic urine testing has elevated blood sugar levels. Which of the following age-related changes could cause his elevated blood sugar without any evidence of glycosuria?
A) Decreased reabsorption from the filtrate B) Reduced tubular function C) High blood urea nitrogen levels D) Increase in the renal threshold for glucose
On the ECG, the P wave represents atrial _____ and the QRS complex represents ventricular _____
a. depolarization; depolarization b. repolarization; repolarization c. repolarization; depolarization d. depolarization; repolarization
When preparing a client for discharge after surgery for a CABG, the nurse should teach the client that there will be:
a. No further drainage from the incisions after hospitalizations b. A mild fever and extreme fatigue for several weeks after surgery c. Little incisional pain and tenderness after 3 to 4 weeks after surgery d. Some increase in edema in the leg used for the donor graft when activity increases