Chapter 4, Problem 27R

The LPN/LVN is preparing to take a verbal medication order over the telephone from a health-care provider. For which reason would this action be permitted by the LPN/LVN? The RN is going home with a sudden fever and vomiting. The order is in response to the emergency need for a patient. The LPN/LVN is the only person at the nursing station. The action is supported by both state board and facility policy.

When a patient is scheduled for an elective procedure, we can schedule the date, time, and location and prepare the patient for before, during, and after the services they receive. Pre- and post-operative instructions should be written and clearly understood by the patient and their support system. Choose one of the following procedures: Performing incision and drainage of localized infection Aspirating joint fluid Performing hemorrhoid thrombectomy Excising a sebaceous cyst Answer the following questions: (minimum 5 sentences per question) Does the patient need any preparation or education before the procedure? What is informed consent? Does the patient need to sign in for the procedure you chose? If yes, what is the role of the medical assistant when the patient signs an informed consent form? If necessary, how do you clean the skin for this procedure? If necessary, how do you set up the sterile field for this procedure? What are the post-operative instructions for patients who had…

You are caring for a 68-year-old patient who underwent abdominal surgery 24 hours ago. The patient has a history of type 2 diabetes mellitus and hypertension. Post- operative orders include monitoring of vital signs every 4 hours, assessing the surgical site for signs of infection, pain management, and early mobilization. The patient is currently NPO (nothing by mouth) and has an IV infusion of 0.9% saline at 100 mL/hr. The patient's current vital signs are: blood pressure 160/90 mmHg, pulse 96 beats/min, respiratory rate 20 breaths/min, and temperature 37.8°C (100°F). The patient complains of moderate pain at the surgical site, rating it 6 out of 10 on the pain scale, and appears anxious about the pain and the potential for complications. Given this scenario, which of the following nursing actions should be prioritized? A) Administering the prescribed PRN (as needed) analgesic for pain management. B) Assessing the surgical site for signs of infection or complications. C) Encouraging…