Patient Care Fundamentals Flashcards

The LVN is changing a wound dressing and notices the wound edges are approximated with minimal redness. This describes which type of wound healing?

Answer: Primary intention

Primary intention healing occurs when wound edges are closed (approximated), resulting in minimal scarring and faster healing.

Which finding in wound drainage requires immediate reporting to the RN or provider?

Answer: Purulent, foul-smelling drainage

Purulent, foul-smelling drainage indicates infection and must be reported immediately to the supervising RN or provider.

An LVN is caring for a patient in contact precautions. In what order should PPE be donned before entering the room?

Answer: Gown, mask, goggles, gloves

The correct donning order for full PPE is gown first, then mask/respirator, then goggles/face shield, then gloves last.

A patient's urine output over 8 hours is 200 mL. The LVN should recognize this as:

Answer: Oliguria

Oliguria is defined as urine output less than 30 mL/hour; 200 mL over 8 hours (25 mL/hr) falls below the acceptable threshold.

When documenting patient care, the LVN makes an error in a paper chart. The correct action is to:

Answer: Draw a single line through the error, initial, and date it

A single line through the error with initials and date preserves the original entry and meets legal documentation standards.

Which route of medication administration has the fastest onset of action?

Answer: Intravenous

Intravenous administration delivers medication directly into the bloodstream, producing the fastest onset of action.

A patient on a clear liquid diet asks if they can have orange juice. The LVN should explain that orange juice is:

Answer: Not allowed because it contains pulp and is opaque

A clear liquid diet includes only transparent liquids; orange juice is opaque and contains pulp, making it inappropriate for this diet.