Question

7. A patient with lung cancer develops syndrome of inappropriate antidiuretic hormone secretion (SIADH). After reporting symptoms of weight gain, weakness, and nausea and vomiting to the physician, you would anticipate which initial order for the treatment of this patient? a. A fluid bolus b. Fluid restrictions c. Urinalysis d. Sodium-restricted diet 8. In the care of a patient with neutropenia, what tasks can be delegated to a UAP? (Select all that apply.) a. Taking vital signs every 4 hours b. Reporting temperature of more than 100.4° F (38° C) c. Assessing for sore throat, cough, or burning with urination d. Gathering the supplies to prepare the room for protective isolation e. Reporting superinfections, such as candidiasis f. Practicing good hand-washing technique 9. You are the charge nurse. Two hours into the shift you discover that two nurses have switched patients because Nurse A does not like to take care of patients with prostate cancer." Which action should you take first? a. Insist that they switch back to the original patient assignments and talk to each of them at the end of the shift. b. Allow them this fexibility, as long as the patients are well cared for it doesn't matter if the assignments are changed. c. Ask Nurse A to explain her position regardina prostate cancer patients and seek alternatives to prevent future issues. d. Explain to Nurse A and B that all patients deserve kindness and care regardless of their condition or the nurses' personal feelings, 10. You are caring for a client who has just had a squamous cell carcinoma removed from the face, Which activity can you delegate to an experienced LPN/LVN? a. Teaching the client about risk factors for squamous cell carcinoma b. Showing the client how to care for the surgical site at home c. Monitoring the surgical site for swelling, bleeding, or pain d. Discussing the reasons for avoiding aspirin use for a week after surgery 11. You are employed as the charge nurse in a long-term care (LTC) facility that employs RNs. LPNs/LVNs, and UAPs. When you are planning care for a resident with a stage III sacral pressure ulcer, which nursing intervention is best to delegate to an LPN/LVN? a. Choosing the type of dressing to be used on the ulcer b. Using the Norton scale to assess for pressure ulcer risk factors c. Assisting the client in changing position at frequent intervals d. Cleaning and changing the dressing on the ulcer every morning

Answer 1

7. The correct option is b ) fluid restriction because in SIADH there is inappropriate amount of antidiuretic hormone is secreted and it cause fluid overload . Hence ,first order is to restrict fluids .

8. The correct option are :-

- taking vital signs

- assessing for sore throat , cough or burning with urination

- practising good hand washing technique

9. The correct option is d) Explain to nurse A and B that all patients deserve kindness and care regardless of their condition or the nurses personal feelings. Discrimination should not not be among the patient's . Nurses should equally treat their patients

10. The correct option is b) showing the client how to care for the surgical site at home

LPN Job Duties Administering medications (not IV in most States) Charting medical records Taking vital signs Change wound dressings Collecting specimens such as blood and urine Inserting and caring for urinary catheters Caring for patients with ventilators and tracheostomy tubes Inserting and caring for patients with nasogastric tubes Provide feedings through nasogastric or gastrostomy tubes Monitoring patients *Knowing when to call appropriate physicians Performing emergency CPR *Executing a nursing care plan formulated by a Registered Nurse