Free LVN Safe and Effective Care Environment Test 3
A patient diagnosed with diabetes mellitus is admitted for uncontrolled blood glucose levels. Which action by the nurse demonstrates understanding of safe medication administration?
Verifying the patient's identification before administering medication is a critical safety measure to ensure the right patient receives the right medication in the right dose.
During a morning assessment, the nurse notes that a patient's intravenous (IV) site is swollen, cool to touch, and painful. What should the nurse do first?
The symptoms described indicate phlebitis, which is an inflammation of the vein. Removing the IV catheter is the first step to prevent further complications and ensure patient safety.
A patient with chronic obstructive pulmonary disease (COPD) has been prescribed oxygen therapy. What should the nurse prioritize when administering oxygen?
Adjusting the oxygen flow rate based on the patient's respiratory assessment ensures optimal oxygenation while preventing complications such as oxygen toxicity or hypoventilation.
A nurse is preparing to administer medication to a patient with dysphagia. Which action demonstrates understanding of safe medication administration?
Patients with dysphagia require careful administration of medications to prevent aspiration. Administering each medication separately with thickened liquid reduces the risk of choking and ensures safe delivery.
When assessing a patient's skin integrity, which finding should the nurse prioritize reporting to the healthcare provider?
Ecchymosis may indicate a bleeding disorder or trauma and requires further evaluation and documentation to monitor for changes in the patient's condition.
Which action should the nurse take to promote a safe environment for a patient at risk for falls?
Placing the call light within the patient's reach allows them to call for assistance promptly, reducing the risk of falls by ensuring help is readily available.
Which intervention should the nurse prioritize when caring for a patient with a urinary catheter to prevent infection?
A closed urinary drainage system minimizes the risk of introducing pathogens into the urinary tract, reducing the incidence of catheter-associated urinary tract infections (CAUTI).
Advertisement
Which statement by a patient indicates understanding of discharge instructions related to home oxygen therapy?
Oxygen is highly flammable. Patients should avoid smoking and exposure to open flames to prevent fires and ensure their safety while using home oxygen therapy.
Which action should the nurse take to ensure safe administration of insulin to a diabetic patient?
Rotating injection sites helps prevent lipodystrophy and ensures consistent absorption of insulin, promoting effective glycemic control and reducing the risk of complications.
A patient is prescribed heparin therapy for deep vein thrombosis (DVT). Which finding requires immediate intervention by the nurse?
Hematuria may indicate bleeding, a serious adverse effect of heparin therapy. Prompt intervention is necessary to assess for bleeding complications and notify the healthcare provider.
Which intervention should the nurse prioritize when caring for a patient with a stage 3 pressure ulcer on their sacrum?
Turning the patient regularly (every 2 hours) helps relieve pressure on the pressure ulcer, promoting healing and preventing further tissue damage.