Ultimate Flashcards

A nurse aide reports that a confused elderly patient stated 'the night nurse hit me last night.' Under mandatory reporting requirements, the LPN should:

Answer: Report the allegation to the charge nurse and/or appropriate authority immediately

LPNs are mandatory reporters; allegations of abuse must be reported immediately to the charge nurse and appropriate authority regardless of the patient's cognitive status.

A patient with a new colostomy refuses to look at the stoma or participate in care. The LPN's best therapeutic response is:

Answer: 'I understand this is difficult. Would you like to watch while I care for it today?'

Acknowledging the patient's feelings and offering a gradual approach (observing first) respects autonomy and facilitates adaptation to the body change.

A patient with chronic heart failure is prescribed furosemide. Which daily assessment is most important for monitoring fluid status?

Answer: Daily weight at the same time each morning

Daily weights taken consistently in the morning before eating and after voiding provide the most accurate reflection of fluid retention or loss.

A patient is ordered morphine 4 mg IV push for pain. After administration, the patient's respiratory rate drops to 8 breaths/min. The LPN's priority action is to:

Answer: Administer naloxone (Narcan) per standing orders and notify the provider

A respiratory rate of 8/min indicates opioid-induced respiratory depression; naloxone must be administered immediately to reverse the opioid effect.

Which action by the LPN best demonstrates understanding of HIPAA regulations?

Answer: Logging out of the electronic health record after reviewing a patient's chart

Logging out of the EHR after use protects patient data from unauthorized access, which is a core HIPAA privacy and security requirement.

A patient with Clostridium difficile (C. diff) infection requires which type of isolation precautions?

Answer: Contact precautions with gown and gloves

C. diff spreads via the fecal-oral route through spores on surfaces; contact precautions (gown and gloves) and handwashing with soap and water are required.

A patient with myasthenia gravis is in crisis and has increasing difficulty swallowing and speaking. The LPN's immediate priority is to:

Answer: Assess and protect the airway and notify the provider immediately

Myasthenic crisis causes progressive respiratory muscle weakness; airway compromise is life-threatening and requires immediate provider notification and airway management.