Patient Care & Clinical Procedures Flashcards
7 cards from real LVN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Patient Care & Clinical Procedures flashcards as text
The nurse is preparing a patient for a colonoscopy. Which patient statement indicates a need for further teaching?
Answer: I can eat a light breakfast the morning of the procedure
Patients undergoing colonoscopy must have nothing by mouth (NPO) after midnight or per facility policy; eating breakfast would contraindicate the procedure.
A nurse notes that a patient's indwelling urinary catheter drainage bag contains 30 mL of urine over 2 hours. What is the priority action?
Answer: Check for catheter kinks or obstruction, then notify the provider
Output less than 30 mL/hr suggests oliguria; the nurse should first check for mechanical obstruction, then report to the provider.
Which technique should the nurse use to confirm correct nasogastric tube placement before initiating a feeding?
Answer: Test the pH of aspirated contents — a pH of 0–4 indicates gastric placement
Aspirate pH of 0–4 is the most reliable bedside method to confirm gastric placement; radiographic confirmation is the gold standard initially.
A patient receiving a blood transfusion develops chills, fever, and back pain 15 minutes into the infusion. What is the nurse's first action?
Answer: Stop the transfusion and keep the IV line open with normal saline
These are signs of a hemolytic transfusion reaction; the transfusion must be stopped immediately and the IV kept open with NS for possible medications.
When performing range-of-motion exercises on a patient's shoulder, the nurse moves the arm in a large circle. This motion is called:
Answer: Circumduction
Circumduction is the movement of a limb in a circular pattern, combining flexion, extension, abduction, and adduction.
A patient has an order for a warm soak to the right hand for 20 minutes. Which water temperature is appropriate for this procedure?
Answer: 105–110°F (40.6–43.3°C)
The recommended temperature for warm soaks is 105–110°F to provide therapeutic warmth without risking tissue damage.
The nurse is caring for a patient with a wound drain (Jackson-Pratt). Which action is correct when emptying the drain?
Answer: Squeeze the bulb, cap it while compressed to re-establish suction, then record the output
JP drains work by negative pressure; the bulb must be squeezed, then capped while compressed so suction draws wound drainage into the collection chamber.