Nokea
Mrs. Roberts communicates very well by lipreading. In planning Mrs. Roberts' care, it is important to
- A. face her and slightly raise your voice
- B. write everything important
- C. employ nonverbal cues to help convey your meaning
- D. avoid obscuring her view of your mouth
Correct Answer: D
Rationale: Clear visibility of the speaker's mouth is vital for effective lipreading, ensuring accurate communication.
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Which task is most appropriate for an LPN/LVN?
- A. Assess immediate emotional state and physical injuries
- B. Collect hair samples, saliva swabs, and scrapings beneath fingernails
- C. Provide emotional support and supportive communication
- D. Ensure that the 'chain of custody' is maintained
Correct Answer: C
Rationale: Providing emotional support is within the scope of an LPN/LVN and does not involve complex legal procedures.
What does using random weights help to prevent when weighing a client diagnosed with binge eating?
- A. Dehydration
- B. Lying about weight
- C. Water loading
- D. Denial of weight loss
Correct Answer: B
Rationale: Random weights reduce opportunities for clients to manipulate or lie about their actual weight.
Pain has been defined as “whatever the person experiencing the pain says it is, existing whenever the patient says it does.” This definition is problematic for the nurse when caring for which type of patient?
- A. A patient placed on a ventilator
- B. A patient with a history of opioid addiction
- C. A patient with decreased cognitive function
- D. A patient with pain resulting from severe trauma
Correct Answer: C
Rationale: The correct answer is C. Patients with decreased cognitive function may have difficulty communicating their pain, making this definition challenging.
During surgery, a patient has a nursing diagnosis of risk for perioperative positioning injury. What is a common risk factor for this nursing diagnosis?
- A. Skin lesions
- B. Break in sterile technique
- C. Musculoskeletal deformities
- D. Electrical or mechanical equipment failure
Correct Answer: C
Rationale: Musculoskeletal deformities increase the risk of positioning injuries during surgery.
During an ophthalmic assessment, which of the following is the nurse expected to observe carefully?
- A. Level of central vision
- B. Internal eye condition
- C. Pupil responses
- D. Rate of blinking
Correct Answer: C
Rationale: Pupil responses are critical in assessing neurological and ocular health. They provide important clues about potential disorders.