ATI LPN
Dewitt Fundamentals Quizlet LPN Pass Medications Questions
Question 1 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 2 of 5
Which nursing intervention is important in preventing urinary complications in immobilized patients?
Correct Answer: C
Rationale: Implementing bladder training programs, with scheduled voiding, prevents urinary complications like retention or infections in immobilized patients by promoting bladder control and function. More fluids alone don't address voiding issues, while less assistance or constant bedpan use can worsen retention risks. Nurses use this to encourage continence, adapting care to immobility's impact on urinary health, ensuring complications are minimized through structured support.
Question 3 of 5
A client with congestive heart failure (CHF) experiences worsening dyspnea and peripheral edema. What is the primary indication for initiating oxygen therapy in this client?
Correct Answer: D
Rationale: Improving myocardial oxygenation (D) is the primary indication for oxygen therapy in CHF with worsening dyspnea, addressing myocardial ischemia from low oxygen supply. Reducing heart workload (A) is a benefit, not the goal. Edema (B) and fluid overload (C) require diuretics, not oxygen. Enhanced cardiac oxygenation supports pump function, per cardiology standards, critical in acute CHF exacerbations.
Question 4 of 5
The nurse is assessing a client who is receiving high-flow oxygen therapy via a non-rebreather mask. Which finding requires immediate intervention?
Correct Answer: D
Rationale: A loose mask fit (D) requires immediate intervention in non-rebreather therapy, as it reduces oxygen delivery (target 60-95%), compromising efficacy. 10 L/min (A) is appropriate. SpO2 95% (B) is normal. Condensation (C) is manageable. Tightening the mask, per respiratory care, restores high-flow effectiveness.
Question 5 of 5
The client scheduled for electroconvulsive therapy tells the nurse, 'I'm so afraid. What will happen to me during the treatment?' Which of the following statements is most therapeutic for the nurse to make?
Correct Answer: A
Rationale: Saying, 'You will be given medicine to relax you during the treatment,' is most therapeutic, addressing fear with reassurance about comfort and safety during electroconvulsive therapy (ECT), a common anxiety for clients. Detailing seizures, side effects, or post-treatment confusion might heighten fear rather than soothe it. Nurses use this approach to build trust, easing emotional distress while preparing clients for the procedure effectively.