The nurse is caring for a client who is one hour post cardiac catheterization. What task should the nurse delegate to a licensed practical/vocational nurse (LPN/VN)?

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Question 1 of 5

The nurse is caring for a client who is one hour post cardiac catheterization. What task should the nurse delegate to a licensed practical/vocational nurse (LPN/VN)?

Correct Answer: C

Rationale: The correct answer is C: Give the scheduled lipid-lowering medication. LPN/VNs can administer medications, including lipid-lowering drugs, under the supervision of a registered nurse. Teaching (choice A) requires a higher level of critical thinking and education, which is typically done by an RN. Performing an initial assessment (choice B) requires advanced assessment skills that an LPN/VN may not have. Titration of medications (choice D) involves adjusting dosages based on specific parameters, which is beyond the scope of practice for an LPN/VN.

Question 2 of 5

All of the following pairings are correct (assuming normal person at rest) EXCEPT

Correct Answer: B

Rationale: The correct answer is B: Alveolar ventilation = 7500 ml. Alveolar ventilation is the volume of fresh air that reaches the alveoli per minute. It is calculated by subtracting the dead space ventilation from the tidal volume and then multiplying by the respiratory rate. In a normal person at rest, the average alveolar ventilation is around 4200 ml/min, not 7500 ml/min. Therefore, choice B is incorrect. Choices A, C, and D are correct because tidal volume is typically around 500 ml, pulmonary blood flow is about 5000 ml/min, and functional residual capacity is the volume of gas in the lung after normal expiration.

Question 3 of 5

Miriam, a college student with acute rhinitis sees the campus nurse because of excessive nasal drainage. The nurse asks the patient about the color of the drainage. In acute rhinitis, nasal drainage normally is:

Correct Answer: C

Rationale: The correct answer is C: Clear. In acute rhinitis, the nasal drainage is typically clear because it is caused by viral infections or allergies, which result in clear mucus production. Yellow or green drainage may indicate a bacterial infection, which is not typically associated with acute rhinitis. Gray drainage is uncommon in nasal discharge and may suggest a more serious underlying condition. Therefore, the nurse asked about the color of the drainage to assess the nature of the infection and determine the appropriate course of treatment.

Question 4 of 5

Blessy, a community health nurse is conducting an educational session with community members regarding tuberculosis. The nurse tells the group that one of the first symptoms associated with tuberculosis is:

Correct Answer: B

Rationale: The correct answer is B: Chest pain. Chest pain can be one of the first symptoms of tuberculosis due to inflammation of the lung tissue or pleura. Dyspnea (A) typically occurs in later stages as the disease progresses. A bloody, productive cough (C) is a common symptom of tuberculosis but may not be one of the first symptoms. Bronchoscopy (D) is a diagnostic procedure and not a symptom of tuberculosis. In summary, chest pain is a common initial symptom due to lung inflammation, while the other choices are either later symptoms or unrelated diagnostic procedures.

Question 5 of 5

A client has experienced pulmonary embolism. A nurse assesses for which symptom, which is most commonly reported?

Correct Answer: C

Rationale: The correct answer is C: Chest pain that occurs suddenly. Pulmonary embolism typically presents with sudden chest pain due to a blockage in the pulmonary arteries. This is a result of a blood clot traveling to the lungs, causing a sharp and stabbing pain. The other options are not typically associated with pulmonary embolism. A hot, flushed feeling (A) is more indicative of a fever or infection, sudden chills and fever (B) may occur in sepsis or the flu, and nausea and vomiting (D) are more commonly seen in gastrointestinal issues.

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