Free LVN Safe and Effective Care Environment Test 2
Which action by a nurse best demonstrates understanding of the legal responsibilities related to nursing practice?
Documentation is a legal and ethical responsibility of nurses. Accurate and timely documentation ensures continuity of care, legal protection, and effective communication among healthcare providers.
When preparing to transfer a patient from the bed to a chair, which action should the nurse prioritize?
Safety is paramount when transferring patients. Ensuring the chair is stable and its wheels are locked prevents falls and promotes a safe transfer.
Which condition should a nurse prioritize monitoring for a patient receiving diuretic therapy?
Diuretics increase urine output, potentially leading to fluid and electrolyte imbalances such as hypovolemia. Monitoring for signs of dehydration and electrolyte disturbances is crucial in patients on diuretic therapy.
Which technique should a nurse use to ensure proper hand hygiene?
Proper hand hygiene involves using soap and water, rubbing hands together vigorously for at least 20 seconds, and ensuring thorough coverage of all surfaces to remove microorganisms effectively.
When caring for a patient with a nasogastric (NG) tube, which action should a nurse take to prevent complications?
Keeping the head of the bed elevated helps prevent aspiration in patients with NG tubes by promoting gastric emptying and reducing the risk of reflux.
Which nursing intervention is appropriate for a patient with impaired skin integrity due to pressure ulcers?
Transparent film dressings provide a barrier to protect the ulcer from contamination, promote moist wound healing, and allow for easy monitoring of the wound.
Which finding during a patient assessment indicates a potential complication of intravenous (IV) therapy?
Warmth, redness, and tenderness at an IV site are signs of inflammation and could indicate phlebitis or infection, which are potential complications of IV therapy.
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Which statement by a patient receiving heparin therapy indicates understanding of potential adverse effects?
Dizziness or nausea can indicate bleeding, a potential adverse effect of heparin therapy. Patients should be educated to report such symptoms promptly.
Which nursing action is appropriate when caring for a patient with a urinary catheter?
A dependent loop prevents backflow of urine and reduces the risk of urinary tract infections (UTIs) in patients with urinary catheters.
When transferring a patient from the bed to a chair, which technique should the nurse use to ensure patient safety?
A transfer belt provides support and stability during patient transfers, reducing the risk of falls and ensuring the safety of both the patient and the nurse.
Which action should the nurse take when caring for a patient with a wound drainage device?
Keeping the drainage tubing above the level of the wound prevents backflow of drainage into the wound, minimizing the risk of infection and promoting wound healing.