LPN Notes: Essential Nursing Procedures and Medications, Exercises of Nursing

A concise overview of essential nursing procedures and medications commonly encountered in lpn practice. It covers topics such as cane usage, chest tube management, ng tube insertion and feeding, colostomy and ileostomy care, oxygen delivery methods, infection control precautions, and medication administration. Key information in a question-and-answer format, making it easy to review and retain.

Typology: Exercises

2023/2024

Available from 11/08/2024

real-grades
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LPN NOTES
When walking with a cane, place on which side laterally to side of foot correct answer - unaffected,
strongest.
Advance which side forward first when using cane correct answer - weaker leg then stronger
Crutches correct answer - advance crutches and weak leg first,
then stronger leg
With chest tubes - Intermittent bubbling on expiration is correct answer - normal
Continuous Bubbling within the chamber of chest tubes suggests correct answer - an air leak
Clamp chest tube.....bubbling stops correct answer - Air leak within pt. at insertion site
clamp chest tube....bubbling continues correct answer - Air leak in drainage system
NG tube insertion correct answer - High Fowlers, chin to chest.
ausultate abdomen
measure tube from tip of nose to earlobe to xyphoid
lubricate
secure with tape
While inserting NG tube if pt becomes cyanotic or has other breathing problems correct answer -
Remove tube immediateily
NG tubing correct answer - Double Lumen or Salem pump, placed above level of stomach
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LPN NOTES

When walking with a cane, place on which side laterally to side of foot correct answer - unaffected, strongest. Advance which side forward first when using cane correct answer - weaker leg then stronger Crutches correct answer - advance crutches and weak leg first, then stronger leg With chest tubes - Intermittent bubbling on expiration is correct answer - normal Continuous Bubbling within the chamber of chest tubes suggests correct answer - an air leak Clamp chest tube.....bubbling stops correct answer - Air leak within pt. at insertion site clamp chest tube....bubbling continues correct answer - Air leak in drainage system NG tube insertion correct answer - High Fowlers, chin to chest. ausultate abdomen measure tube from tip of nose to earlobe to xyphoid lubricate secure with tape While inserting NG tube if pt becomes cyanotic or has other breathing problems correct answer - Remove tube immediateily NG tubing correct answer - Double Lumen or Salem pump, placed above level of stomach

confirm placement of NG tube correct answer - aspirate gastric contents 20 ml syringe Gastric Aspirate is correct answer - green and ph of 1-3 or < NG tube feedings and med pass correct answer - flush tubing with 30 ml after each Colostomy correct answer - perm or temp. used when part of large intestines is removed commonly placed at sigmoid colon Colostomy stoma is made where correct answer - Large intestine Contents of a Colostomy bag are correct answer - firm to fully formed ileostomy correct answer - permanent or temp. Entire Large intestine is removed Ileostomy is made from correct answer - the small intestine ileostomy contents correct answer - paste like to watery nasal cannula flow rate... correct answer - 1-6 liters, usually 2 for low supplemental O Nasal Canula delivers what % O2 correct answer - 25-45% (1 liter = 25% 6 liter = 45%) for higher supplemental O

checking residual before feeding do not give bolus, and recheck if correct answer - residual is > than 100ml Reverse agent for Heparin correct answer - Protamine Sulfate Reverse agent for Coumadin correct answer - Vitamin K reverse agent for alcohol correct answer - Librium prevents platelet aggregation correct answer - Heparin PT/PTT are elevated if a pt is on... correct answer - Coumadin reverse agent for Iron toxicity correct answer - deferoxamine Med of choice for CHF correct answer - Ace inhibitors/ the "prils" TPN total parental nutrition given correct answer - in a Subclavian line Med of choice for anaphylactic shock correct answer - Epinephrine med of choice for bi polar correct answer - Lithium Appendicitis pain is located where correct answer - RLquad with rebound tenderness TIA/transient ischemic attack correct answer - mini stroke, no dead brain tissue CVA/ cerebrovascular accident correct answer - with dead brain tissue

Hodgkins disease correct answer - cancer of the lymph, very curable in early stages Parkinsons correct answer - RAT...Rigidity, Akinesia (loss of muscle movement) & Tremors Give Carafate (Gi Med) correct answer - Before meals to coat the stomach