F&E Questions & Answers 2024

F&E Questions & Answers 2024 1. A client's nursing diagnosis is Deficient Fluid Volume related to excessive fluid loss. Which action related to the fluid management should be delegated to a nursing assistant? a. Administer IV fluids as prescribed by the physician. b. Provide straws and offer fluids between meals. c. Develop plan for added fluid intake over 24 hours d. Teach family members to assist client with fluid intake - ANSWERS1. ANSWER B - The nursing assistant can reinforce additional fluid intake once it is part of the care plan. Administering IV fluids, developing plans, and teaching families require additional education and skills that are within the scope of practice for the RN. 2. The client also has the nursing diagnosis Decreased Cardiac Output related to decrease plasma volume. Which finding on assessment supports this nursing diagnosis? a. Flattened neck veins when client is in supine position b. Full and bounding pedal and post-tibial pulses c. Pitting edema located in feet, ankles, and calves d. Shallow respirations with crackles on auscultation - ANSWERS2. ANSWER A - Normally, neck veins are distended when the client is in the supine position. The veins flatten as the client moves to a sitting position. The other three responses are characteristic of Excess Fluid Volume. 3. The nursing care plan for the client with dehydration includes interventions for oral health. Which interventions are within the scope of practice for the LPN/LVN being supervised by the nurse? (Choose all that apply.) a. Remind client to avoid commercial mouthwashes. b. Encourage mouth rinsing with warm saline. c. Assess lips, tongue, and mucous membranes d. Provide mouth care every 2 hours while client is awake e. Seek dietary consult to increase fluids on meal trays. - ANSWERS3. ANSWER A, B, C, D - The LPN/LVN's scope of practice and educational preparation includes oral care and routine observation. State practice acts vary as to whether LPN/LVNs are permitted to perform assessment. The client should be reminded