Nokea
What complication can result from tracheal suctioning?
- A. Acute hypoxemia
- B. Gastric dilatation
- C. Hypervolemic shock
- D. Epiglottitis
Correct Answer: A
Rationale: Suctioning temporarily reduces oxygen levels, necessitating careful monitoring.
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In assigning patients with alterations related to gastrointestinal (GI) cancer, which would be the most appropriate nursing care tasks to assign to the LPN/LVN, under supervision of the team leader RN?
- A. A patient with severe anemia secondary to GI bleeding.
- B. A patient who needs enemas and antibiotics to control GI bacteria.
- C. A patient who needs pre-op teaching for bowel resection surgery.
- D. A patient who needs central line insertion for chemotherapy.
Correct Answer: B
Rationale: Administering enemas and antibiotics involves routine tasks that LPNs/LVNs are trained to perform, whereas the other options require advanced skills or supervision.
Give an example of a sensitive way to ask a patient each of the following questions.
- A. Is the patient on antihypertensive medication having a side effect of impotence?
- B. Has the patient with a history of alcoholism had recent alcohol intake?
- C. Who are the sexual contacts of a patient with gonorrhea?
- D. Does the patient skip taking medications because they cost too much?
Correct Answer: B
Rationale: N/A
In assessing the healing of a client's wound during a home visit, which of the following is the best indicator of good healing?
- A. White patches.
- B. Green drainage.
- C. Reddened tissue.
- D. Eschar development.
Correct Answer: C
Rationale: Reddened tissue indicates healthy granulation tissue.
For a client who has sustained recent blindness, which task(s) would be appropriate to delegate to the nursing assistant? (Choose all that apply.)
- A. Listen to the client express grief or loss.
- B. Assist client to ambulate in hall.
- C. Orient client to surroundings.
- D. Encourage independence.
Correct Answer: B
Rationale: Assisting with mobility is within the scope of practice for nursing assistants and ensures safety for the client.
What considerations and interventions should be used when caring for a client with a hearing impairment?
- A. Use written communication
- B. Speak loudly and slowly
- C. Provide visual aids
- D. All of the above
Correct Answer: D
Rationale: Using multiple strategies ensures effective communication and accommodation for the client's needs.