The nurse admits a client with the medical diagnosis of ...

[Mr.Thesaxman]

The nurse admits a client with the medical diagnosis of pneumonia. Which of the following will the LPN/LVN perform?
 
  1. The head-to-toe initial assessment of the client
  2. An admission assessment
  3. A focused assessment at the end of the shift
  4. A complete physical examination

Question 2

While assisting with a routine physical examination of an adolescent, the mother asks if there are any immunizations due during the teen years. The nurse's most accurate response is:
 
  1. No booster immunizations are necessary during the teen years.
  2. Only the pneumonia vaccine and the flu vaccine are needed.
  3. A second MMR (measles, mumps, and rubella) is needed.
  4. Hepatitis A and B are required at this period in life.

[Ptupou85]

Answer to Question 1

3
Rationale: The LPN/LVN most often will be responsible for a focused assessment on the client once or twice a shift. The LPN/LVN may be asked to conduct a focused assessment of a body part, but, in this case, it would be of the client's lungs, as the client has pneumonia. A head-to-toe assessment, complete physical examination, or admission assessment is generally conducted by the RN with data-collection assistance from the LPN/LVN.

Answer to Question 2

3
Rationale: During the teen years, adolescents should receive a second MMR immunization.

[Mr.Thesaxman]

Excellent

[AngeliqueG]

Wow, this really help