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.
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The PACU nurse applies warm blankets to a postoperative patient who is shivering and has a body temperature of 96.0°F (35.6°C). What treatment also may be used to treat the patient?
- A. Oxygen
- B. Vasodilating drugs
- C. Antidysrhythmic drugs
- D. Analgesics or sedatives
Correct Answer: A
Rationale: Shivering increases oxygen demand; providing oxygen supports metabolic needs.
The nurse understands that during the 'tension building' phase of a violent relationship, when the batterer makes unreasonable demands, the battered victim may experience feelings of:
- A. Anger.
- B. Helplessness.
- C. Calm.
- D. Explosive.
Correct Answer: B
Rationale: Victims often feel powerless and trapped during this phase.
Which patient needs attention first?
- A. An elderly person complains of dizziness and syncope after standing in the sun for several hours to view a parade
- B. A marathon runner complains of severe leg cramps and nausea. Tachycardia, diaphoresis, pallor, and weakness are observed
- C. A previously healthy homemaker reports broken air conditioner for days. Tachypnea, hypotension, fatigue, and profuse diaphoresis are observed
- D. A homeless person, poor historian, presents with altered mental status, poor muscle coordination, and hot, dry, ashen skin. Duration of exposure is unknown
Correct Answer: D
Rationale: Hot, dry skin and altered mental status suggest heat stroke, a medical emergency requiring immediate cooling measures.
A client wants help choosing between apitherapy and chiropractic treatments. Compare and contrast the two methods in terms of safety and insurance coverage.
- A. Apitherapy involves bee venom therapy and may not be covered by insurance; chiropractic treatments focus on spinal manipulation and are often covered.
- B. Both methods are equally safe and covered by insurance.
- C. Neither method is safe or covered by insurance.
- D. Safety and coverage depend solely on the client's insurance provider.
Correct Answer: A
Rationale: Apitherapy and chiropractic treatments differ in safety profiles and insurance coverage, requiring careful evaluation.
Which statement by a patient demonstrates an accurate understanding about herbal supplements?
- A. Herbs may interact with prescribed medications but not other herbs.
- B. Most herbs have been tested and found to be safe and therapeutic.
- C. The Food and Drug Administration regulates herbs and allows advertising.
- D. There is no standardization among the manufacturers of herbs in this country.
Correct Answer: D
Rationale: Herbal supplements lack standardization and regulation in the U.S.