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An LPN supporting a patient who has recently been taught how to provide self-injection of insulin recognizes the patient understands the teaching if which of the following sites are chosen? (Select all that apply)
Front of the abdomen about 2 inches from the belly button
Back of the upper arm
Top of the thigh slightly lateral from midline
The LPN provides a patient with NPH insulin at 8 a.m. and expects the insulin to take effect at approximately what time?
10:00 a.m.
The LPN providing multiple medications for a patient with numerous comorbid conditions would include which of the following statements while educating the patient about colchicine (Colcrys)?
"This medication helps the pain you have due to gout."
The LPN provides a patient with daily Lantus insulin at bedtime. The patient states, "I've never really understood why I take insulin at night when I eat during the day." Which response by the nurse is best?
"This is a long-acting insulin that lasts 18 to 24 hours for sustained control of your sugar."
While providing a calcium supplement to a patient with osteopenia, the nurse would also counsel the patient to ensure sufficient intake of which additional supplement?
Vitamin D
When preparing to provide morning medications, the LPN would give levothyroxine (Synthroid) ordered daily in which of the following ways?
In the morning before breakfast and without any other medications
Upon admission, an 85-year-old patient reports taking alendronate sodium (Fosamax) once weekly but states, "I can't remember why I take that one; I just know I take it on Monday." The best response by the nurse would be:
"That medication helps strengthen your bones and prevent fractures."
The LPN is assisting in the care of a patient newly diagnosed with Addison's disease. The nurse would expect to see new orders for which of the following?
Fludrocortisone acetate (Florinef)
While working with patients in an obstetric office, the LPN assists with the care of a patient taking liothyronine (Cytomel). The patient states, "My husband and I are hoping to start our family soon. Do you know if I can take this while I'm pregnant?" Which response by the nurse is the best?
"It is generally safe to take that medication during pregnancy."
At 8 a.m. the LPN is reviewing patient assignments and notes one of the patients has a current blood glucose of 264. Breakfast is routinely served at 8:30. The following orders are noted in the chart. What action should the nurse take?
Accucheck before meals and at bedtime with sliding scale insulin aspart SQ:
Glucose (0-150) 0 units
(151-200) Give 2 units
(201-250) Give 4 units
(251-300) Give 6 units
(301-350) Give 8 units
(351-400) Give 10 units
>400 Notify physician
Provide 6 units insulin aspart SQ.
Family members at a reunion on the beach return from a long walk with sunburn on their shoulders and feet. Which of the following recommendations will the nurse make?
"Apply cold cloths to the sunburn for 20 minutes, then apply aloe vera ointment."
The LPN is working with the mother of a 10-year-old patient diagnosed with conjunctivitis. The nurse would determine teaching was effective by which of the following statements? (Select all that apply)
"I will have my daughter wash her hands frequently and thoroughly."
"It is important to remind her not to rub her eyes."
The nurse is preparing to give a patient the first dose of newly prescribed celecoxib (Celebrex) and notes the patient has an allergy to morphine and sulfa antibiotics. Which of the following actions should the nurse take next?
Hold the medication since it is contraindicated for patients with allergy to sulfa antibiotics.
While performing a skin assessment for a newly admitted 82-year-old patient, the nurse notes the patient has reddened, peeling areas between his toes and around the soles of his feet. Which of the following medications would the nurse request?
Clotrimazole
The nurse prepares to admit a 71-year-old patient with a long-standing history of rheumatoid arthritis who has been taking ibuprofen (Motrin) 600 mg tid for many years. The nurse would be most concerned if the patient reported which of the following symptoms?
Sharp, stabbing pain in the midepigastric region
At 10 p.m. the LPN notes one of the patients has a blood glucose of 451. The patient has sliding scale insulin ordered as noted below. What action by the nurse is best?
Accucheck before meals and at bedtime with sliding scale insulin aspart SQ:
Glucose (0-150) 0 units
(151-200) Give 2 units
(201-250) Give 4 units
(251-300) Give 6 units
(301-350) Give 8 units
(351-400) Give 10 units
>400 Notify physician
Notify the physician of the result.
The nurse recognizes that which of the following individuals is most likely to be taking calcitonin (Miacalcin)?
A 44-year-old patient with thyroid cancer
While helping the RN to develop a care plan for a patient with rheumatoid arthritis, the LPN recognizes which of the following goals would be of highest priority?
Maintain the patient's optimal independence
While assisting in the care of a postmenopausal woman with osteoporosis who takes calcitonin (Miacalcin), which of the following would the nurse include in the patient's plan of care? (Select all that apply)
Encourage weight-bearing exercises
Encourage smoking cessation
Encourage limited alcohol consumption
The LPN is assisting in the care of a patient with diabetes mellitus. The nurse aide reports the patient's blood sugar result is 58 and the patient is awake and reports feeling shaky and weak. Which action should the nurse take first?
Provide the patient with oral BD glucose.
While participating in the care of a patient who received gentamicin ophthalmic (Garamycin), the LPN may suspect ototoxicity if the patient reports which of the following symptoms? (Select all that apply)
Altered balance
Altered balance
Ringing in the ears
The LPN would instruct a patient using which of the following medications that the medication may change the color of the eyes?
Bimatoprost (Lumigan)
The nurse is caring for a patient with extensive third-degree burns scattered across the left leg and hip. Orders for chemical debridement using collagenase (Santyl) are noted. The nurse will take which of the following actions?
Apply the collagenase to the blackened, dead tissue within the burned area.
While performing skin assessments during a local mall screening event, the nurse would be most concerned by which of the following findings?
A 39-year-old patient with a purplish-black irregular shaped area on the shoulder blade
The LPN performs a routine finger stick to check glucose and obtains a reading of 279 g/dL. The LPN would anticipate standing orders to provide sliding scale coverage with which of the following types of insulin?
Regular