A practical nurse is reviewing the medication administration record for a client with heart failure. The client is prescribed digoxin 0.125 mg daily and furosemide 40 mg daily. The client's morning potassium level is 3.1 mEq/L. Which action is the priority for the LPN?
When preparing a client for a colonoscopy, the practical nurse reinforces the importance of the prescribed polyethylene glycol bowel preparation. The client asks, "Why do I have to drink all of this?" What is the most accurate response by the LPN?
A practical nurse is reinforcing self-management education for an adolescent newly diagnosed with type 1 diabetes. Which topics are most crucial to include to promote adherence and safety? (Select THREE)
A practical nurse in a long-term care facility is admitting a new resident from the hospital. The resident has a history of atrial fibrillation, congestive heart failure, and dementia. The admission packet includes a signed Do Not Resuscitate (DNR) order. What is the LPN's first action upon reviewing the admission orders and paperwork?
A client diagnosed with schizophrenia tells the practical nurse, "The voices are telling me that I am a bad person." Which response by the LPN is most therapeutic? ```mermaid flowchart TD A[Client states "The voices are telling me I am a bad person."] --> B{Is the nurse's response therapeutic?} B -->|Yes| C[Focus on feelings, present reality, offer self] B -->|No| D[Argue with delusion, give false reassurance, ask 'why'] C --> E[Builds trust & reduces anxiety] D --> F[Increases anxiety & mistrust] ```
An LPN is assigned to care for a 68-year-old male who is 12 hours post-operative from a total knee arthroplasty. He has a history of hypertension and type 2 diabetes. He is receiving morphine via a patient-controlled analgesia (PCA) pump. During the morning assessment, the LPN enters the room and finds the client is difficult to arouse. The LPN notes a respiratory rate of 8 breaths/minute and an oxygen saturation of 89% on room air. What is the LPN's priority action?
A 7-year-old child with a known history of asthma is brought to the urgent care clinic by a parent. The parent states, "He's been using his rescue inhaler every 2 hours, but he's not getting any better." The LPN assesses the child and notes audible wheezing without a stethoscope, a respiratory rate of 34 breaths/minute, and visible use of sternocleidomastoid muscles for breathing. The child's oxygen saturation is 91% on room air. The child appears anxious and is leaning forward on the examination table. What is the practical nurse's immediate action?
A 65-year-old client with a 15-year history of type 2 diabetes is seen at a wound care clinic. The LPN assesses a non-healing ulcer on the plantar surface of the client's right foot. The client reports no pain in the area. The LPN notes the wound has a pale base with no granulation tissue and a moderate amount of malodorous drainage. The client's most recent hemoglobin A1c was 9.2%. The client's vital signs are stable. Which factor is the most significant contributor to the wound's failure to heal?
An LPN in a memory care unit is caring for an 88-year-old resident with advanced Alzheimer's disease. Over the past three days, the resident has been refusing meals, has lost 5 pounds, and has started pocketing her medications instead of swallowing them. She is frequently agitated in the afternoons. The resident's daughter, who is visiting, tells the LPN with tears in her eyes, "She's starving. Is it time for a feeding tube?" What is the LPN's most appropriate initial response?
True or False: When positioning a client to prevent pressure injuries, the 30-degree lateral inclined position is preferred over the 90-degree side-lying position.