1|Page
UNITEK LVN EXIT STUDY GUIDE /UNITEK
COLLEGE LVN PROGRAM LATELY UPDATED
GRADED A+|| LATEST AND COMPLETE UPDATE
2025 WITHNVERIFIED SOLUTIONS||
GURANTEED PASS!!
Chest Tube:
● Must obtain informed consent before insertion
● Place pt in orthopneic position during insertion of chest tube, Benadryl can
be given for pre-procedure
● Obtain chest x-ray to confirm placement
● Place the chest tube collection below the level of the chest and keep the
tubing coiled and free of kinks.
● Chest tube suction should be set to -20
● Drainage to report: cloudy, red, or above 70mL per hour, monitor for s/sx of
infection.
● Document drainage findings Q8hrs
● Keep pt in semi-to-high Fowler's position to allow drainage
● Check on pt Q4hrs and cough and deep breath Q2hrs
● Tracheal deviation may occur from a tension pneumothorax s/sx: absence of
breath sounds, distended neck veins, asymmetry of the chest, and cyanosis.
Collection Chambers:
● Suction Control Chamber: Gentle, steady, or continuous bubbling is good.
There should not be violet or vigorous bubbling.
● Water Seal Chamber: Tidaling occurs during breathing which is good. There
should not be continuous bubbling in this chamber which could indicate an air
leak!
● Drainage Collection Chamber: Monitor drainage color and amount
,2|Page
● Air Leak Chamber: If bubbling may indicate an air leak.
Chest Tube Removal:
● Place an occlusive dressing x3 sides
● Keep two hemostats and a new chest tube at the bedside
● Instruct pt to exhale as much as possible to remove air from the pleural
space and bear down (Valsalva maneuver)
● Give analgesic 30 mins before
● Orthopedic position
IV Complications :
● Always stop the IV, however, do not remove the catheter in case the MD
orders diphenhydramine via IV
Phlebitis: heat, redness, tenderness, and streaking up along the vein, stop the
infusion and restart in the opposite extremity
Infiltration: pain, swelling, coolness, numbness no blood return, apply warm/cool
compress and elevate extremity
Extravasation: when fluid flows from the the vessel and flows into the surrounding
area causing swelling, painful blisters
Chart:
● The hospital owns the chart, pt must request their forms
● It must be a cover sheet if you are faxing over the chart
● Have a privacy screen
Priorities:
1. ABC
2. Bleeding
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3. New Onset, ex: someone with a new onset of dyspnea takes priority over
someone with COPD with dyspnea
Hip Arthroplasty:
● Place pt supine with head slightly elevated and leg in a neutral position,
place abduction wedge between the client's legs when in bed/chair
● Avoid flexion beyond 90 degrees
● Neurovascular checks hourly for the first 24hrs then Q2-4hrs
● Get a raised toilet seat, grab bars, shower chairs, etc.
● Ambulate ASAP
● Do not turn pt to the operative side
● Do not cross your legs!!!
● Perform calf and leg exercises Q2hrs.
Knee Arthroplasty:
● Place pillow under lower calf and foot, NOT under the knee
● Apply ice within the first 24hrs
● Monitor neurovascular status Q 2-4hrs
● Ambulate ASAP
● Wear elastic stockings
CPM Machine:
● Prescribed to promote motion in the knee, promote circulation, and prevent
scar tissue formation, provide passive ROM
● Pad areas with sheepskin
● Line up with the joints of the CPM machine with the pts operative knee,
apply in the extended position.
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● Check the setting on device Q8hrs
● Place pt supine when applying the CPM device, following placement keep
the HOB at 20 degrees
Transcribing Phone Orders:
● Repeat back to the provider
● Asking questions if anything is unclear
● Order must contain dosage, time, route, reason, and frequency
Car Seat Safety:
● Rear-facing until 2 years of age
● If put in the passenger seat, confirm the airbag is off
● 45-degree angle
● Shoulder harnesses are placed in the slots at or below the level of the infant's
shoulder
● A retainer clip should be placed at the eel of the infant's armpits
Triage Color Tags:
● BLACK: expectant, not likely to survive to the extent of injuries
● IMMEDIATE: see first!! Ex: shock, pneumothorax
● DELAYED: see second, needs delayed attention, ex: open fractures
● MINOR: see last, non-urgent, ex: minimal fractures, anxiety
Immunizations:
Live vaccines: MMR, Varicella, Rotavirus, & IPV
UNITEK LVN EXIT STUDY GUIDE /UNITEK
COLLEGE LVN PROGRAM LATELY UPDATED
GRADED A+|| LATEST AND COMPLETE UPDATE
2025 WITHNVERIFIED SOLUTIONS||
GURANTEED PASS!!
Chest Tube:
● Must obtain informed consent before insertion
● Place pt in orthopneic position during insertion of chest tube, Benadryl can
be given for pre-procedure
● Obtain chest x-ray to confirm placement
● Place the chest tube collection below the level of the chest and keep the
tubing coiled and free of kinks.
● Chest tube suction should be set to -20
● Drainage to report: cloudy, red, or above 70mL per hour, monitor for s/sx of
infection.
● Document drainage findings Q8hrs
● Keep pt in semi-to-high Fowler's position to allow drainage
● Check on pt Q4hrs and cough and deep breath Q2hrs
● Tracheal deviation may occur from a tension pneumothorax s/sx: absence of
breath sounds, distended neck veins, asymmetry of the chest, and cyanosis.
Collection Chambers:
● Suction Control Chamber: Gentle, steady, or continuous bubbling is good.
There should not be violet or vigorous bubbling.
● Water Seal Chamber: Tidaling occurs during breathing which is good. There
should not be continuous bubbling in this chamber which could indicate an air
leak!
● Drainage Collection Chamber: Monitor drainage color and amount
,2|Page
● Air Leak Chamber: If bubbling may indicate an air leak.
Chest Tube Removal:
● Place an occlusive dressing x3 sides
● Keep two hemostats and a new chest tube at the bedside
● Instruct pt to exhale as much as possible to remove air from the pleural
space and bear down (Valsalva maneuver)
● Give analgesic 30 mins before
● Orthopedic position
IV Complications :
● Always stop the IV, however, do not remove the catheter in case the MD
orders diphenhydramine via IV
Phlebitis: heat, redness, tenderness, and streaking up along the vein, stop the
infusion and restart in the opposite extremity
Infiltration: pain, swelling, coolness, numbness no blood return, apply warm/cool
compress and elevate extremity
Extravasation: when fluid flows from the the vessel and flows into the surrounding
area causing swelling, painful blisters
Chart:
● The hospital owns the chart, pt must request their forms
● It must be a cover sheet if you are faxing over the chart
● Have a privacy screen
Priorities:
1. ABC
2. Bleeding
,3|Page
3. New Onset, ex: someone with a new onset of dyspnea takes priority over
someone with COPD with dyspnea
Hip Arthroplasty:
● Place pt supine with head slightly elevated and leg in a neutral position,
place abduction wedge between the client's legs when in bed/chair
● Avoid flexion beyond 90 degrees
● Neurovascular checks hourly for the first 24hrs then Q2-4hrs
● Get a raised toilet seat, grab bars, shower chairs, etc.
● Ambulate ASAP
● Do not turn pt to the operative side
● Do not cross your legs!!!
● Perform calf and leg exercises Q2hrs.
Knee Arthroplasty:
● Place pillow under lower calf and foot, NOT under the knee
● Apply ice within the first 24hrs
● Monitor neurovascular status Q 2-4hrs
● Ambulate ASAP
● Wear elastic stockings
CPM Machine:
● Prescribed to promote motion in the knee, promote circulation, and prevent
scar tissue formation, provide passive ROM
● Pad areas with sheepskin
● Line up with the joints of the CPM machine with the pts operative knee,
apply in the extended position.
, 4|Page
● Check the setting on device Q8hrs
● Place pt supine when applying the CPM device, following placement keep
the HOB at 20 degrees
Transcribing Phone Orders:
● Repeat back to the provider
● Asking questions if anything is unclear
● Order must contain dosage, time, route, reason, and frequency
Car Seat Safety:
● Rear-facing until 2 years of age
● If put in the passenger seat, confirm the airbag is off
● 45-degree angle
● Shoulder harnesses are placed in the slots at or below the level of the infant's
shoulder
● A retainer clip should be placed at the eel of the infant's armpits
Triage Color Tags:
● BLACK: expectant, not likely to survive to the extent of injuries
● IMMEDIATE: see first!! Ex: shock, pneumothorax
● DELAYED: see second, needs delayed attention, ex: open fractures
● MINOR: see last, non-urgent, ex: minimal fractures, anxiety
Immunizations:
Live vaccines: MMR, Varicella, Rotavirus, & IPV
