Nokea
A nursing assistant comes to the LPN/LVN and complains that she has more residents to care for than another nursing assistant (NA). She has one more resident assigned to her than the other NA. However, the other NA has more total care residents than the complaining NA. How should the LPN/LVN handle this situation?
- A. Tell the complaining NA that this is the assignment
- B. Promise to give her an easier assignment tomorrow
- C. Discuss with her the needs of her assignment and help her organize her care
- D. Tell her that the other NA will help her as needed
Correct Answer: C
Rationale: Discussing needs and organizing care addresses the NA's concerns constructively, promoting teamwork and efficiency without dismissing or deferring.
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The nurse is reinforcing instructions to a client at 34 weeks gestation who is preparing to travel by airplane. Which of the following instructions are appropriate? Select all that apply.
- A. Avoid getting up during the flight unless you need the restroom.
- B. Carry a copy of your most up-to-date prenatal record
- C. Increase fluid intake before and during the flight
- D. Secure the lap belt below the abdomen and across your hips when seated
- E. Wear compression stockings and loose-fitting clothing
Correct Answer: B,C,D,E
Rationale: Pregnant travelers should carry prenatal records for emergencies, stay hydrated to prevent dehydration, secure the lap belt safely, and wear compression stockings to reduce thrombosis risk. Avoiding movement increases clot risk, so periodic walking is recommended.
The nurse is planning to give a 3 year-old child oral digoxin. Which of the following is the best approach by the nurse?
- A. Do you want to take this pretty red medicine?
- B. You will feel better if you take your medicine.
- C. This is your medicine, and you must take it all right now.
- D. Would you like to take your medicine from a spoon or a cup?
Correct Answer: D
Rationale: Would you like to take your medicine from a spoon or a cup? Offering a choice empowers the child and reduces resistance.
The nurse is reinforcing teaching for a client with atrial fibrillation who has a new prescription for warfarin. The nurse should instruct the client to avoid excess or inconsistent intake of which of the following foods? Select all that apply.
- A. red meat
- B. bananas
- C. broccoli
- D. spinach
- E. kale
Correct Answer: C,D,E
Rationale: Broccoli, spinach, and kale are high in vitamin K, which can antagonize warfarin's anticoagulant effect. Consistent intake is key, but excess can reduce effectiveness. Red meat and bananas have minimal vitamin K and don't significantly affect warfarin.
During the discharge teaching of a client with Buerger's disease, the nurse should teach the client:
- A. Exercises for improving vascular return from the lower extremities
- B. The importance of wearing mittens or gloves
- C. Dietary choices for reducing triglycerides
- D. The role of weight bearing exercises in preventing bone loss
Correct Answer: A
Rationale: Exercises to improve vascular return, such as ankle pumps, help manage Buerger's disease by promoting circulation in the extremities.
The nurse is caring for a 2 year-old who is being treated with chelation therapy, calcium disodium edetate, for lead poisoning. The nurse should be alert for which of the following side effects?
- A. Neurotoxicity
- B. Hepatomegaly
- C. Nephrotoxicity
- D. Ototoxicity
Correct Answer: C
Rationale: Nephrotoxicity. Nephrotoxicity is a common side effect of calcium disodium edetate, in addition to lead poisoning in general.