Quiz 5

1. Madame Claire Dubois, a 72-year-old client, has just returned from a cardiac catheterization. During the routine post-procedure assessment, the nurse caring for Madame Dubois notices a large hematoma forming at the catheter insertion site. After reviewing the notes, the nurse realizes that the previous nurse did not apply the necessary pressure to the site post-procedure, which likely led to the complication. Concerned about patient safety and professional accountability, the nurse feels compelled to report the incident. Which activity listed would best support the nurse’s sense of moral courage in this situation? *
2. Monsieur Étienne Morel, a 66-year-old patient, is admitted to the medical-surgical unit for long-term IV antibiotic therapy due to osteomyelitis. A peripherally inserted central catheter (PICC) line was placed yesterday. During the morning shift, an LPN is preparing to draw blood samples for lab work and notices that the requisition states to draw the blood from the PICC line. The LPN pauses and considers whether this procedure is within their legal and professional scope of practice. What should the LPN do next in this situation? *
3. Madame Claire Dubois, a 72-year-old woman with a history of peripheral artery disease (PAD), is admitted to the surgical unit for wound care and pain management. During morning rounds, she tells the LPN that she experiences a burning pain in her lower legs at night that wakes her from sleep. She describes it as a deep aching sensation, mostly in her feet, that feels better when she sits up and lets her legs hang down. The LPN recognizes this as a classic symptom of rest pain related to PAD, caused by decreased blood flow to the lower extremities during periods of inactivity. What should the LPN teach Madame Dubois to help relieve her rest pain? *
4. Monsieur Jacques Moreau, a 68-year-old man, has recently undergone a tracheostomy following prolonged intubation due to respiratory failure. He is now on the medical-surgical floor for recovery and tracheostomy care. During an early evening routine check, the LPN assigned to his care notices that the tracheostomy tube has accidentally dislodged while the patient was adjusting his position in bed.
Monsieur Moreau is in mild distress but is conscious and breathing through the stoma. The RN is currently on break, and the physician is not readily available. The LPN immediately calls for help and activates the emergency team. What is the next best action the LPN should take? *
5. Madame Élise Fournier, a 54-year-old client with chronic asthma, is being discharged with a prescription for an inhaled corticosteroid to be used daily. The LPN is assigned to provide discharge teaching regarding proper inhaler technique to ensure effective medication delivery and minimize side effects. During the teaching session, Madame Fournier appears uncertain about how to use her inhaler correctly and asks the LPN to clarify the steps. Which instruction should the LPN include in the teaching? *
6. Monsieur René Gagnon, a 67-year-old client with COPD, is receiving albuterol sulfate/ipratropium bromide (DuoNeb) nebulizer treatments during his stay at a rehabilitation center. As the LPN provides discharge education about the medication, Monsieur Gagnon expresses concern about side effects and proper usage. Which of the following statements from the patient indicates the patient understands the risks associated with albuterol sulfate/ipratropium bromide (DuoNeb) nebulizer treatments? *
7. Madame Éloïse Tremblay, a 71-year-old patient, is admitted to the cardiac unit with a diagnosis of supraventricular tachycardia (SVT). She has been started on propranolol (Inderal) as part of her treatment plan. Which assessment finding is an indication the patient is experiencing an adverse effect of this drug? *
8. Monsieur Jacques Lefebvre, a 45-year-old patient with a history of asthma, is admitted for routine respiratory monitoring. The LPN is preparing to administer his Fluticasone (Flovent) inhaler as part of his daily medication regimen. What is the rationale for administering this drug to this patient? *
9. Lucie Tremblay, a 10-year-old child with a history of asthma, is brought to the emergency department by her mother due to shortness of breath, coughing, and wheezing. After receiving bronchodilators and oxygen, the nurse continues monitoring her condition. The nurse caring for the child should monitor for which sign, knowing that it indicates a worsening of the condition? *
10. Monsieur René Bouchard, a 72-year-old client with a long history of chronic obstructive pulmonary disease (COPD), is being discharged home. The LPN is assigned to provide discharge teaching and emphasizes the importance of monitoring for signs and symptoms of right-sided heart failure, a common complication of chronic lung disease. Which of the following would be included in the teaching plan? *
11. Madame Claire Lefebvre, a 34-year-old woman with a known history of asthma, arrives at the emergency department accompanied by her partner. The LPN assesses her and observes severe dyspnea, a respiratory rate of 35 breaths/minute, nasal flaring, and use of accessory muscles. On auscultation, breath sounds are greatly diminished in all lung fields. Based on these findings, what action should the nurse take to initiate care of the client? *
12. 10-year-old school-age girl named Sophie, diagnosed with cystic fibrosis (CF), is attending her routine check-up with the school nurse. During the visit, she asks, “What kind of sports can I play when I’m older?” She wants to stay active like her classmates but is concerned about her condition. Which of the following activities would be most appropriate for the nurse to suggest? *