Fill N Blank
An ___ is usually performed when a death is __ or __, the result of injury or suspicious circumstances, or had not been seen within a specific period by a physician.
An autopsy is usually performed when a death is sudden or unexpected, the result of injury or suspicious circumstances, or had not been seen within a specific period by a physician (p.405).
The participants of the planning stage of the nursing process during which health goals are defined includes the RN, LPN, and the patient's family.
False. Includes the healthcare team, the patient, and the patient's family.
What type of carbohydrates are recommended for T2DM that helps maintain a consistent blood sugar level?
Complex Carbohydrates.
Why should the LPN keep the HOB elevated at least 30 degrees at all times if the patient is on continuous feeding?
To facilitate emptying and prevent aspiration.
1. Delegate work more efficiently.
2. Make good decisions most of the time.
3. Identify the best nursing diagnosis.
4. Write care plans more effectively.
Although critical thinking skills may be used in any of the answer choices, the most comprehensive answer choice is #4, because drawing conclusions requires an analysis of data and synthesizing it.
The goal of nutritional therapy for patients with __ is to control the amount of ___ in the diet to maintain the blood __ level at 70 to __mg/dL.
The goal of nutritional therapy for patients with diabetes is to control the amount of carbohydrates in the diet to maintain the blood glucose level at 70 to 120mg/dL (p.491).
All patient's have the right to the appropriate assessment of pain.
True.
When should the LPN check PEG tube placement?
Check tube placement at least every shift and before feeding or administering medication (p. 497).
Why should a pale stoma be reported to the MD immediately?
The pale stoma indicates a compromised blood supply..
The role of the LPN/LVN in the patient admission procedure differs from that of the RN and might include (select all that apply):
1. Writes nursing diagnoses and medical diagnoses.
2. Obtains an ordered urine specimen.
3. Takes the patient's history.
4. Assists with physical data collection.
5. Orients the patient to the unit.
2, 3, 4, and 5; Rationale: The LPN’s role in this situation would be to obtain an ordered urine specimen, to take the patient’s history, to assist with physical data collection, and to orient the patient to the unit.
The time __ __ ceased, the time __ was __, and the __ of the person making the official __ must be __ in the nursing __.
The time life signs ceased, the time death was pronounced, and the name of the person making the official pronouncement must be documented in the nursing notes (p.405).
A new patient was admitted to the facility. The nurse has a list of medications on the order sheet. The nurse notices that the patient brought in additional medications that are not on the order sheet. So, the nurse toke the appropriate action by deciding to hand write the medications on the order sheet.
False. The nurse is to notify the physician about the medications that the patient has been taking.
What are the COMMON food practices in Judaism?
Not eating meat and milk at the same meal.
Why should a patient receiving an enema, be positioned in the left Sims position?
Solution travels up the colon when the patient is lying on the left side. This allows entry into the colon.
The major component necessary for metabolism of carbohydrates is (are):
1. Pancreatic enzymes.
2. Insulin secreted by the pancreas.
3. Bile secreted by the liver.
4. Mucus secreted from the duodenum.
2; Rationale: Insulin is needed for the metabolism of carbohydrate.
How will the technician try to stimulate seizure activity for a patient who is to have a EEG?
The patient may be asked to ___ for some of the tracings because abnormalities may then be more noticeable. __ ___ ___ causes alkalosis, which in turn produces vasoconstriction in the brain. A flashing __ may be held over the __ to __ abnormal activity.
How will the technician try to stimulate seizure activity for a patient who is to have a EEG. The patient may be asked to hyperventilate for some of the tracings because abnormalities may then be more noticeable. Rapid shallow breathing causes alkalosis, which in turn produces vasoconstriction in the brain. A flashing light may be held over the face to induce abnormal activity.
The consent for invasive procedure is written incorrectly. The nurse takes the best action by notifying the MD, crossing out the portion in error, and have the MD initial it.
False. The incorrect form needs to be shredded and a new form correctly written.
What does Vitamin C help fight against and promotes?
Fight against infection and promotes wound healing.
What is the proper order the nursing process is approached and why?
1. assessment (collect findings first)
2. nursing diagnosis (identify problem from data collected)
3. planning (establish goals that relate to problem to improve patient outcomes)
4. implementation (actions to take to achieve what is in plan to accomplish)
5. Evaluation (to identify if the plan and actions worked accordingly, if not re-evaluate)
A home care nurse has a patient with a wound infection who is also under Droplet precautions. The patient's wife changes the dressing on the days that the nurse does not visit. The wound must be cleansed and then dressed. The nurse must teach the wife to (select all that apply):
1. Maintain strict surgical asepsis.
2. Cleanse her hands and be careful to touch only the corners of the dressing with her bare hands.
3. Store the used dressings and supplies in a sealed plastic bag before placing them in the trash.
4. Wear a surgical mask as well as gloves when changing the dressing.
5. Don clean gloves when removing the soiled dressings from the wound.
3, 4, 5; Rationale: The wife’s hands should be protected from exposure to the wound drainage. She should wash her hands before donning gloves and immediately after completing the dressing change. A face mask should be worn until the patient is deemed no longer contagious via the droplet route.
After an angiography test, the __ medium ___ point is also checked for __ or ___ of a ___.
The contrast medium insertion point is also checked for bleeding or formation of a hematoma (p.425).
The plant source that contains all nine essential amino acids is kidney beans and lima beans.
False. Soybeans are the only plant source that provides all nine essential amino acids.
What action should the LPN take before performing tracheotomy care?
Suction tracheotomy before beginning care.
Why is an "X" an acceptable signature if it is witnessed on a consent form.
The patient may be unable to read or write. So, signing with an X authorizes permission to go through with the procedure after everything has been explained with a witness present.
The nurse has just collected a midstream urine specimen from a patient. Which urine characteristic would be of the greatest concern?
1. urine smells slightly ammonia.
2. urine is dilute.
3. urine is slightly cloudy.
4. urine is dark brown.
2. 4; Rationale: Dark brown urine could be a sign of bleeding, which could be caused by trauma or disease. Dark brown urine could also be caused by release of myoglobin, which can cause kidney damage. The other findings are expected characteristics of a normal urine sample.