Medical Surgery Exam 1 – LPN with
confirmed solutions
fourth |degree |burn |- |correct |answer |-burn |in |which |full |thickness |of |the |skin |and |underlying |muscle
|and |bone |is |damaged
color |varies
visible |charred |in |deepest |areas
extremity |movement |limited
insensate
respiratory |issues |in |burn |pts |- |correct |answer |-watch |for |- |
increasing |restlessnes
coughing
hoarseness
rapid |shallow |respirations
stridor |(high-pitched |wheeze)
falling |o2 |levels
contractures |in |burn |pt |- |correct |answer |-always |a |concern, |tighness |of |the |muscles |or |ligaments
-proper |positioning |
-regular |excercise
-must |be |excercise |and |stretched |every |day
Roles |and |functions |of |the |LPN |- |correct |answer |-- |caretaker
- |educator
- |collaborator
,| | - advocate |
- |leader |and |delegator
- |promote |health |and |prevent |disease
- |provide |comfort |measures
- |assist |to |make |decisions |
- |manage |client |care
- |act |as |a |resource |person
- |use |resources |in |a |cost |effective |manner
-
5 |rights |of |delegation |- |correct |answer |-right |task
right |circumstance
right |person
right |direction/communication
right |supervision/evaluation
QSEN |5 |competences |- |correct |answer |-- |provide |pt |centered |care |
| | - collaborate
| | - Implement |evidence |based |practice
| | - use |quality |improvement
| | - use |informatics
Factors |that |influence |critical |thinking |- |correct |answer |-attitude, |communication |skills, |problem |
solving
characteristics |of |a |critical |thinker |- |correct |answer |-*maintains |and |open |mind |and |questioning |
attitude
*recognizes |own |biases |and |limitations
,*separates |relevant |info |form |irrelevant |
*identifies |missing |info
*considers |all |possibilities
*admits |what |they |do |not |know
*reasons |logically
*strives |for |excellence
*draws |valid |conclusions |from |evidence |and |data
*sets |priorities |and |makes |careful |decisions
*is |flexible, |creative, |humble, |honest, |curious, |and |insightful
*admits |what |they |do |not |know
clinical |judgement |- |correct |answer |-refers |to |the |result |(outcome) |of |critical |thinking |or |clinical |
reasoning; |the |conclusion, |decision, |or |opinion |a |nurse |makes
Data |collection |in |the |nursing |process |- |correct |answer |-- |LPN |may |be |asked |to |assist |with |initial |
admission |assessment |which |is |the |RN |responsiblity |
- |LPN |is |responsible |for |ongoing |assessment |
- |LPN |systemically |gather |and |review |data |
- |determine |whether |there |is |a |present |life-threatening |problem |that |needs |addressing |and |act |
appropriately
ADPIE |- |Diagnosis |- |LPN |and |medsurg |- |correct |answer |--LPN |reports |data |collection |findings |to |the |
RN |and |assists |in |verifying, |categorizing, |and |grouping |the |data |in |logical |order
- |the |LPN |also |assist |in |analyzing |the |data |to |determine |significant |relationships |among |data, |pt |
needs, |and |problems
Planning |(nursing |process) |- |LPN |and |medsurg |- |correct |answer |-SMART |goals |(Specific, |Measurable,
|Attainable, |Realistic, |Timely)
assist |the |RN |in |the |developement |of |expected |outcomes |and |interventions |for |a |patients |plan |of |
care
, Implementation |in |the |nursing |process |- |correct |answer |-provide |planned |nursing |care |to |
accomplish |expected |outcomes |of |nursing
- |distinguish |with |activities |you |need |to |carry |out |and |which |ones |the |pt |must |learn |to |do |to |gain |
independence
Evaluation |in |the |nursing |process |- |correct |answer |-compare |actual |outcomes |of |nursing |care |to |
expected |outcomes |and |assist |with |update |the |nursing |care |plan
Sources |and |information |for |the |database |- |correct |answer |-*admission |form |if |applicable
--- |reason |for |admission, |allergies, |home |medications, |etc.
* |If |the |pt |has |been |hospitalized |in |the |past
*medical |diagnosis
*preliminary |lab |work
*imaging |studies
*chief |complaint
*level |of |pain
*last |bowel |movement
*problems |with |urination, |eating, |or |difficulty |sleeping
*secondary |sources |of |info |from |family
Inspection |- |correct |answer |-- |facial |expression
-posture
-grimaces
-movements
-hair, |skin, |nails
- |oral |mucus |membranes |and |teeth
- |clean
-evidence |of |a |support |system
confirmed solutions
fourth |degree |burn |- |correct |answer |-burn |in |which |full |thickness |of |the |skin |and |underlying |muscle
|and |bone |is |damaged
color |varies
visible |charred |in |deepest |areas
extremity |movement |limited
insensate
respiratory |issues |in |burn |pts |- |correct |answer |-watch |for |- |
increasing |restlessnes
coughing
hoarseness
rapid |shallow |respirations
stridor |(high-pitched |wheeze)
falling |o2 |levels
contractures |in |burn |pt |- |correct |answer |-always |a |concern, |tighness |of |the |muscles |or |ligaments
-proper |positioning |
-regular |excercise
-must |be |excercise |and |stretched |every |day
Roles |and |functions |of |the |LPN |- |correct |answer |-- |caretaker
- |educator
- |collaborator
,| | - advocate |
- |leader |and |delegator
- |promote |health |and |prevent |disease
- |provide |comfort |measures
- |assist |to |make |decisions |
- |manage |client |care
- |act |as |a |resource |person
- |use |resources |in |a |cost |effective |manner
-
5 |rights |of |delegation |- |correct |answer |-right |task
right |circumstance
right |person
right |direction/communication
right |supervision/evaluation
QSEN |5 |competences |- |correct |answer |-- |provide |pt |centered |care |
| | - collaborate
| | - Implement |evidence |based |practice
| | - use |quality |improvement
| | - use |informatics
Factors |that |influence |critical |thinking |- |correct |answer |-attitude, |communication |skills, |problem |
solving
characteristics |of |a |critical |thinker |- |correct |answer |-*maintains |and |open |mind |and |questioning |
attitude
*recognizes |own |biases |and |limitations
,*separates |relevant |info |form |irrelevant |
*identifies |missing |info
*considers |all |possibilities
*admits |what |they |do |not |know
*reasons |logically
*strives |for |excellence
*draws |valid |conclusions |from |evidence |and |data
*sets |priorities |and |makes |careful |decisions
*is |flexible, |creative, |humble, |honest, |curious, |and |insightful
*admits |what |they |do |not |know
clinical |judgement |- |correct |answer |-refers |to |the |result |(outcome) |of |critical |thinking |or |clinical |
reasoning; |the |conclusion, |decision, |or |opinion |a |nurse |makes
Data |collection |in |the |nursing |process |- |correct |answer |-- |LPN |may |be |asked |to |assist |with |initial |
admission |assessment |which |is |the |RN |responsiblity |
- |LPN |is |responsible |for |ongoing |assessment |
- |LPN |systemically |gather |and |review |data |
- |determine |whether |there |is |a |present |life-threatening |problem |that |needs |addressing |and |act |
appropriately
ADPIE |- |Diagnosis |- |LPN |and |medsurg |- |correct |answer |--LPN |reports |data |collection |findings |to |the |
RN |and |assists |in |verifying, |categorizing, |and |grouping |the |data |in |logical |order
- |the |LPN |also |assist |in |analyzing |the |data |to |determine |significant |relationships |among |data, |pt |
needs, |and |problems
Planning |(nursing |process) |- |LPN |and |medsurg |- |correct |answer |-SMART |goals |(Specific, |Measurable,
|Attainable, |Realistic, |Timely)
assist |the |RN |in |the |developement |of |expected |outcomes |and |interventions |for |a |patients |plan |of |
care
, Implementation |in |the |nursing |process |- |correct |answer |-provide |planned |nursing |care |to |
accomplish |expected |outcomes |of |nursing
- |distinguish |with |activities |you |need |to |carry |out |and |which |ones |the |pt |must |learn |to |do |to |gain |
independence
Evaluation |in |the |nursing |process |- |correct |answer |-compare |actual |outcomes |of |nursing |care |to |
expected |outcomes |and |assist |with |update |the |nursing |care |plan
Sources |and |information |for |the |database |- |correct |answer |-*admission |form |if |applicable
--- |reason |for |admission, |allergies, |home |medications, |etc.
* |If |the |pt |has |been |hospitalized |in |the |past
*medical |diagnosis
*preliminary |lab |work
*imaging |studies
*chief |complaint
*level |of |pain
*last |bowel |movement
*problems |with |urination, |eating, |or |difficulty |sleeping
*secondary |sources |of |info |from |family
Inspection |- |correct |answer |-- |facial |expression
-posture
-grimaces
-movements
-hair, |skin, |nails
- |oral |mucus |membranes |and |teeth
- |clean
-evidence |of |a |support |system
