Final Exam- LVN Term 1 UNITEK COLLEGE Exit Study Guide with Verified Solutions

Final Exam- LVN Term 1 UNITEK COLLEGE Exit Study Guide with Verified Solutions A patient weighs 357 lbs, convert to kg (round to the nearest tenth) - ANSWER 162.3 kg (divide by 2.2) You work as a home health nurse and see a client being abused. You should: - ANSWER -Follow your agency's protocol The best method to stop the spread of germs is: - ANSWER -hand hygiene The role of the LVN includes: - ANSWER -The LVN is supervised by an RN or MD, develop the roles of future LVNs, continued education. A patient with Alzheimer's disease care would include: - ANSWER -providing predictable routines Delirium includes: - ANSWER -behavior change, new environment can trigger it, it is reversible. Which of the following statements is false about an aging patient? - ANSWER Lower blood pressure Aging patients include symptoms such as: - ANSWER -poor visual acuity, high blood pressure, poor cough reflex, dehydration of intervertebral disc. Before starting a feeding in the NG tube, what should the LVN do? - ANSWER Test pH of gastric contents (pH must be 4 or less) Which foods are appropriate for mechanical soft diet? - ANSWER -Banana, yogurt, milk, eggnog, ice cream, cheese Hypoxemia is: - ANSWER -low level of oxygen in the blood Hypoxia is: - ANSWER -deprived of oxygen in the body Which of the following is appropriate for trach care? - ANSWER -Always secure new ties before removing the old ties When collecting a urine specimen with a straight catheter, what is appropriate? - ANSWER -Use a sterile specimen container When collecting a urine specimen with a Foley catheter, what is appropriate? - ANSWER -Collect specimen from catheter port What organ is pear-shaped and is located under the liver? - ANSWER -Cholecyst (Gallbladder) What is stored in the gallbladder before it releases into the small intestine? - ANSWER -Bile The reabsorption of water and solutes during urine formation is called: - ANSWER -Proximal convoluted tubule (PCT) Major regulator of respiratory activity is the: - ANSWER -PCo2 (partial pressure of carbon dioxide) What happens to an increase in thoracic volume? - ANSWER -Air moves in and through the respiratory passageways Decrease in lung volume is due to: - ANSWER -recoil Hamstring muscles include: - ANSWER -biceps femoris, semitendinosus, semimembranosus What stimulates bone growth in adults? - ANSWER -Weight bearing exercises How did Florence Nightingale improve standards for the soldiers from the Crimean War? - ANSWER -Nutritional improvement, improved hygiene, use of new medical equipment, organized record keeping What is the bottom of Maslow's hierarchy? What does it include? - ANSWER Physiological needs- human survival, air, water, food, shelter, clothing, warmth, sleep What are the key points in an enema procedure? - ANSWER -warm water/solution, left Sim's position, insert 4 inches into rectum, lubricate 3-4 inches, have patient hold solution as long as possible or at least 5 minutes What are the key points in an indwelling catheter? - ANSWER -Time/date of procedure, size of French, response from patient, amount of mL solution of balloon inflated, patient teaching, procedure completed. When a nurse educator is promoting a "safe hospital environment", what are they preventing? - ANSWER -an injury What is the correct way of taking a blood pressure? - ANSWER -at heart level, do not cross legs, cuff snug, 2 fingers fit underneath, brachial artery A patient who has a hx of HTN has recently developed paralysis on one side of the face. What would be the B in SBAR? - ANSWER -Hypertension The patient mentions that she is nervous. The nurse states "you seem worried about the procedure, what are your concerns?". - ANSWER -This clarification from the patient. What can help with wound healing? - ANSWER -Vitamin C, Zinc and protein, Vitamin A What can help with improving nutritional intake for the patient? - ANSWER Small, frequent meals with snacks