ATI LPN
Dewitt Fundamentals Quizlet LPN Pass Medications Questions
Question 1 of 5
A client with a cervical spinal cord injury is admitted to the intensive care unit. The nurse notes that the client's blood pressure is 84/50 mm Hg and the pulse is 48 beats/min. Which condition does the nurse suspect?
Correct Answer: B
Rationale: Low BP (84/50) and bradycardia (48 bpm) in cervical SCI suggest neurogenic shock (B) from sympathetic disruption. Hypovolemic (A) has tachycardia. Septic (C) or cardiogenic (D) don't fit. B is correct. Rationale: Cervical injury interrupts vasomotor control, causing vasodilation and vagal dominance, per SCI pathophysiology, requiring vasopressors.
Question 2 of 5
Which of the following statements is an OBRA regulation that the nurse must keep in mind when considering applying a restraint to a client?
Correct Answer: B
Rationale: The Omnibus Budget Reconciliation Act (OBRA) mandates that a physician's order for restraints be time-limited, ensuring periodic reassessment to minimize use. This regulation protects clients from prolonged restriction, requiring justification and renewal, such as every 24 hours. Restraints aren't a first choice alternatives are prioritized and verbal orders need prompt signing, but time limits are key. Family objections don't legally veto if clinically warranted. This rule balances safety with rights, critical in nursing practice.
Question 3 of 5
The nurse is sending some lab results to the primary physician's office. The nurse most needs to do which of the following things?
Correct Answer: B
Rationale: Verifying receipt of faxed lab results via a follow-up call and documenting it ensures communication accuracy and accountability. Noting the fax alone or leaving a record note lacks confirmation, and checking with the lab doesn't guarantee physician receipt. This step prevents care delays, a vital nursing responsibility.
Question 4 of 5
To protect the client's skin from injury during hygiene care, including bathing or showering, application of lotion, and bed making, you most need to do which of the following things?
Correct Answer: D
Rationale: Short fingernails prevent skin injury during hygiene tasks, unlike covered jewelry, brisk drying (which irritates), or loose sheets (unrelated). Nurses prioritize this for client safety.
Question 5 of 5
The nurse visiting a client and the client's family in the home teaches family members to massage the client's back and enlists their aid in providing backrubs. Which of the following reasons most likely represents the main reason the nurse has enlisted the aid of the family?
Correct Answer: A
Rationale: Enlisting family for backrubs mainly reduces their helplessness, empowering them in care. Need, medication, or sleep benefits are secondary. Nurses foster this involvement.