Health Evaluation & Monitoring Flashcards
7 cards from real LPN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Health Evaluation & Monitoring flashcards as text
A patient's oxygen saturation drops from 97% to 89% over 30 minutes. What is the nurse's priority action?
Answer: Apply supplemental oxygen and notify the provider
An SpO2 of 89% is below the acceptable threshold of 95% and requires immediate oxygen supplementation and provider notification.
When performing a head-to-toe assessment, the LPN notes the patient has periorbital edema. This finding is most associated with which condition?
Answer: Nephrotic syndrome
Periorbital edema is a classic sign of nephrotic syndrome due to significant protein loss and decreased oncotic pressure.
A patient reports pain rated 7/10 with movement and 3/10 at rest. Which nursing action is most appropriate before administering PRN analgesics?
Answer: Assess the character, location, and precipitating factors of pain
A thorough pain assessment including character, location, and triggers guides safe and effective pain management decisions.
Which urine output value over 8 hours should the LPN immediately report to the charge nurse or provider?
Answer: 180 mL
Urine output below 30 mL/hour (240 mL over 8 hours) indicates oliguria; 180 mL over 8 hours is critically low and requires urgent reporting.
During a neurological check, the LPN asks the patient to squeeze both hands simultaneously and notices the left grip is significantly weaker. What should the nurse document?
Answer: Left-sided hemiparesis with decreased grip strength
Asymmetrical grip strength with left-sided weakness must be documented as left-sided hemiparesis and reported promptly.
A post-operative patient has a blood pressure of 88/54 mmHg and heart rate of 118 bpm. Which additional assessment finding would best confirm hypovolemic shock?
Answer: Cool, clammy skin with delayed capillary refill
Cool, clammy skin and delayed capillary refill indicate peripheral vasoconstriction from hypovolemia, confirming early hypovolemic shock.
The LPN is monitoring a diabetic patient's blood glucose before meals. A fasting reading of 52 mg/dL requires which immediate action?
Answer: Give 15-20 grams of fast-acting carbohydrate and recheck in 15 minutes
A blood glucose of 52 mg/dL indicates hypoglycemia; the 15-15 rule requires administering 15 grams of fast-acting carbohydrate and rechecking in 15 minutes.