The LPN/LVN making care assignments to nursing assistants would not assign a patient who has which problem?
a. Manipulative behavior
b. An unstable condition
c. A draining wound
d. A communicable disease
B
Nursing assistants are not assigned to patients who have an unstable condition. Care of an unsta-ble patient does not fall into the scope of practice of the unlicensed personnel.
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The client complains of severe back pain and is excused from work. Later, he is seen water skiing and jogging. These behaviors describe:
a. Malingering b. Somatization c. Hypochondriasis d. A factitious disorder
A nurse prepares to collect a stool sample from a patient to test for fecal fat. Which of the following guidelines accurately describes a consideration in this process?
A) Discard a stool sample if the patient is menstruating or has placed toilet paper into the commode with the stool. B) Redo a test if the specimen has been inadvertently left on the counter instead of being sent to the laboratory. C) Do not collect a stool sample from an incontinence brief or diaper of a patient, because it may have been contaminated with urine. D) If a timed stool test is ordered, such as fecal fat, the entire amount of stool produced for 24 to 72 hours should be sent to the laboratory.
While A.H. awaits his surgery, it is important that you monitor him carefully for decreased tissue perfusion
Identify five things you would assess for, and state your rationale for each.
A patient with moderate Alzheimer disease (AD) is prescribed memantine (Namenda). Which should the nurse understand about the mechanism of action for this medication?
1. Protects cells against excess glutamate by partially blocking NMDA c-receptors. 2. Slows the degradation of acetylcholine, thereby increasing concentration of the neurotransmitters in the cerebral cortex. 3. Protects cells against excess NMDA by partially blocking glutamate c-receptors. 4. Slows the degradation of dopamine, thereby increasing concentration of the neurotransmitters in the cerebral cortex.