Quiz 3

1. Madame Claire Lefevre, a 72-year-old patient with heart failure, is prescribed an angiotensin-converting enzyme (ACE) inhibitor to manage her condition. She has been experiencing some discomfort since starting the medication. What is the most important side effect that may interfere with compliance? *
2. Monsieur Alain Dupont, a 68-year-old man recently diagnosed with heart failure, calls the LPN for advice. He has been managing his condition as best as he can but is concerned about some recent changes he has noticed. Which statement indicates a worsening of the client's condition? *
3. Madame Claire Lefebvre, a 72-year-old patient, has been prescribed Warfarin (Coumadin) to treat a deep vein thrombosis (DVT). The LPN is educating her about the medication and how it works to manage her condition. Which statements by the patient require you to re-educate them about how this medication works? Choose two answers. *
4. Mademoiselle Chloé Dupont, a 19-year-old university student, is in the clinic for a routine check-up. She mentions that she has been prescribed oral contraceptives containing estrogen and progestin for several months. The LPN is reviewing her health history and educating her on the risk factors for thrombosis. Which accurately explains one reason for the increased risk? *
5. Madame Élodie Moreau, a 32-year-old woman who is 27 weeks pregnant, presents to the maternity unit with swelling, warmth, and pain in her left leg. After assessment and diagnostic testing, she is diagnosed with a deep venous thrombosis (DVT). The LPN prepares to implement the appropriate collaborative treatment plan. Which collaborative therapy should the LPN anticipate? *
6. Monsieur Jean Lefevre, a 60-year-old client admitted with a diagnosed deep vein thrombosis (DVT) in his left leg, has been on bed rest and anticoagulant therapy. During your morning assessment, he suddenly tells you he’s having difficulty breathing. Which presentation would cause immediate action by the LPN? *
7. Madame Claire Moreau, a 72-year-old patient, is receiving warfarin therapy for atrial fibrillation. During your shift, she suddenly develops a fever, chills, and a red, itchy rash (urticaria). You immediately report the reaction to the physician. What should the LPN expect to administer? *
8. Monsieur Jacques Lemieux, a 68-year-old patient with atrial fibrillation, is being discharged on warfarin (Coumadin). The LPN is providing medication teaching to ensure safe use of the anticoagulant. Which statement by the patient indicates a need for further instruction? *
9. Madame Sophie Tremblay, a 72-year-old patient prescribed an anticoagulant for atrial fibrillation, tells the nurse she has a headache and asks for aspirin (acetylsalicylic acid). The LPN checks the medication administration record before responding. What is the LPN's best action? *
10. Nurse Sophie Tremblay is monitoring Monsieur Daniel Fortier, 62 years old, who just returned to the unit after undergoing a bronchoscopy with biopsy for suspected lung lesions. As part of her routine post-procedure care, Sophie checks Daniel’s vital signs, respiratory status, and monitors for any complications. Which finding, if noted in the client, should be reported immediately to the health care provider? *
11. Nurse Marie Lefebvre is completing her shift at the surgical unit and begins documenting her assessment of Monsieur Alain Tremblay, a 67-year-old postoperative patient recovering from an appendectomy. She observed that his left abdominal incision is healing well and needs to ensure her documentation is accurate, objective, and legally appropriate. Which entry should the nurse document in the patient’s record? *
12. While making her rounds on the unit, LPN Isabelle Gagnon witnesses a troubling interaction. A patient, Madame Thérèse Lapointe, who has mild cognitive impairment, tries to stand from her chair. A PAB nearby forcibly pushes her back down into the seat and says, “Don’t keep trying to get up or I will restrain you.” The PAB's behavior is an example of: *