You are the RN charge nurse on the medical surgical unit,
and you are in charge of delegating assignments for the shift. Which of the
following would be the most appropriate to delegate to the LPN/LVN?
A.
A 25 year old patient who requires IV antibiotic
therapy, and needs a PICC line dressing change before administering the
antibiotic.
B.
A 72 year old patient who requires Lasix 20mg IV
push
C.
A 50 year old patient who is 3 days post op and
requires a simple dressing change
D.
A 45 year old patient who is a newly diagnosed
diabetic and requires discharge teaching
You are caring for a patient who is newly diagnosed with
Congestive Heart Failure CHF. Which statement by the patient would indicate
that your patient teaching has been a success?
A.
I will watch my salt intake and ensure that I do
not exceed 4g or 4000mg per day in my diet
B.
I will conduct a daily weight, keep a log of my
daily weight, and report to my doctor immediately any weight gain of 3 or more
pounds in one day
C.
If I feel that I am urinating too frequently, I
will not take my diuretic for a few days to help with the frequency of
urination, after all, I don’t want to fall getting out of bed so much at night
D.
I will just smoke one half pack of cigarettes
per day, as this is healthier than one pack.
Which statement by the client receiving anticoagulation
therapy with Coumadin would indicate a need for further teaching?
A.
If I notice that I have a bruise that is three
inches or bigger and continually gets larger, I will seek immediate medical
help.
B.
I will eat green leafy vegetables in moderation,
as they are healthy, but can increase the thickness of my blood, potentially
causing a clot.
C.
I will keep all scheduled appointments for blood
work because it is important to monitor my PT/ INR levels to ensure that my Coumadin
dose is therapeutic
D.
If I get a severe headache, worse than any other
headache I have ever had in my life, I will take two aspirin, and take a nap,
as that should help
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