NSG 221 FINAL STUDY -2014 updated to pass

NSG 221 FINAL STUDY -2014Delegation of assignments - correct answer to another person who is qualified to carry them out Techniques and strategies for test-taking - correct answer Breakdown question - read stem look for negative works: just, always, never, all, every, none, only look for words to indicate priority answer. An experienced LPN, under the supervision of the team leader RN, is providing nursing care for a patient with a respiratory problem. Which actions are appropriate to the scope of practice of an experienced LPN? (Select all that apply) - correct answer 1. Auscultate breath sounds 2. Administer medications via metered-dose inhaler (MDI) 3. Complete in-depth admission assessment 4. Initiate the nursing care plan 5. Evaluate the patient's technique for using MDI's ANS: 1, 2, 4 Rationale: The experienced LPN is capable of gathering data and making observations, including noting breath sounds and performing pulse oximetry. Administering medications, such as those delivered via MDIs, is within the scope of practice of the LPN. Independently completing the admission assessment, initiating the nursing care plan, and evaluating a patient's abilities require additional education and skills. These actions are withing the scope of practice of the professional RN You are evaluating and assessing a patient with a diagnosis of chronic emphysema. The patient is receiving oxygen at a flow rate of 5 L/min by nasal cannula. Which finding concerns you immediately? 1. The patient has fine bibasilar crackles 2. The patient's respiratory rate is 8 breaths/min. 3. The patient sits up and leans over the night table. 4. The patient has a large barrel chest. - correct answer 2. The patient's respiratory rate is 8 breaths/min. ANS: 2