Quiz 2

1. Before she leaves, Madame Marchand expresses concern about becoming "too used to the patch" and asks if it will stop working over time. You take this opportunity to explain how to prevent tolerance to transdermal nitroglycerin therapy (Nitro-Bid). To prevent the development of tolerance to transdermal nitroglycerin (Nitro-Bid), which instruction should the LPN include in patient teaching? *
2. Monsieur Alain Gagné, a 58-year-old man, is hospitalized for evaluation of chronic lower back pain. He has been taking oxycodone (OxyContin) 40 mg PO twice daily for the past three months. During your assessment, he reports that his pain is better controlled, but he’s experiencing bloating, decreased appetite, and constipation. He asks, “Is there anything I can do to prevent these stomach problems while still taking my medication?” Which intervention should be added to Monsieur Gagné’s plan of care to minimize the gastrointestinal adverse effects of oxycodone? *
3. Madame Claire Bouchard, a 67-year-old patient, is recovering in the post-anesthesia care unit (PACU) after abdominal surgery. She received morphine for pain relief. One hour later, the LPN notices her respiratory rate has dropped to 7 breaths per minute, and she is difficult to arouse. The LPN immediately administers naloxone (Narcan) IV as ordered to reverse the opioid-induced respiratory depression. Shortly after administration, Madame Bouchard becomes more alert and begins to grimace and report sharp pain at her incision site. What undesirable effect would the LPN anticipate after giving naloxone (Narcan)? *
4. Mr. Thompson, a 74-year-old male, is admitted to the medical-surgical unit with complaints of difficulty urinating, a weak urine stream, and a sensation of incomplete bladder emptying. He has a known history of benign prostatic hyperplasia (BPH). On assessment, his lower abdomen appears distended, and he reports discomfort in the suprapubic area. The physician has ordered a bladder scan to be performed immediately after the patient attempts to void. What is the primary purpose of performing a bladder scan in this patient? *
5. You are caring for Monsieur Émile Gagnon, an 82-year-old client who is bedridden following hip surgery. During your morning assessment, you observe a reddened area on his sacrum with an intact fluid-filled blisterover a bony prominence. The surrounding skin appears fragile but intact. There is no slough, and no exposure of deeper tissue. How would you document Monsieur Gagnon's pressure injury? *
6. Madame Claire Desrosiers, 67 years old, is recovering from abdominal surgery performed two days ago. During your evening rounds, you hear her call out for help. When you enter the room, she says, “I felt something tear,” and you notice loops of bowel protruding through her surgical incision. She appears anxious and is holding her abdomen. What is the priority nursing action? *
7. Monsieur Jean-Michel Lefebvre, age 62, is recovering from abdominal surgery and is receiving postoperative education before discharge. He tells you, “I’m afraid to cough because I don’t want to tear my stitches.” Which of the following instructions should the LPN provide to reduce the risk of wound evisceration? *
8. Madame Lucie Girard, a 58-year-old patient, is being discharged from the hospital after treatment for heart failure. She is prescribed Digoxin to manage her condition. Before she leaves, you provide discharge instructions on how to safely use the medication. Which statements verbalized by Madame Girard demonstrate that she understands how to properly take Digoxin? (Choose two answers.) *
9. Monsieur Henri Dubois, age 68, has been diagnosed with heart failure and has been advised to follow a low-sodium diet to help manage his condition. During a follow-up visit, he is learning about food choices that align with his new diet. Which food should Monsieur Dubois select for lunch to demonstrate understanding of a low-sodium diet? *
10. Madame Claire Lefebvre, a 45-year-old patient, has recently experienced a sprain and is being taught by the registered LPN about cold therapy to manage her acute pain. The LPN explains how to apply cold therapy safely and effectively. Which of Madame Lefebvre's statements indicates a need for further teaching about the use of cold therapy in acute pain management? *
11. Monsieur Luc Boucher, a 58-year-old patient, is recovering from surgery. During his postoperative care, the primary healthcare provider suggests that he watch funny videos to help with his pain management. The LPN observes the healthcare provider’s approach and takes note for future care planning. While treating Monsieur Boucher, the primary healthcare provider encourages the patient to watch funny videos. This is an example of which pain management technique? *
12. Monsieur Pierre Dupont, 68, is recovering from CHF and is prescribed digitalis (digoxin). The LPN is providing dietary instructions, focusing on potassium intake to avoid complications with his medication. Which food should the LPN recommend? *