A charge nurse has assigned a group of clients to a licensed practical nurse (LPN). The charge nurse receives reports from her assigned clients about the LPN's lack of care. Which of the following actions should the charge nurse take?

Discuss the LPN's behavior with other nurses on the unit.

Review the LPN's personnel file.

Talk with the clients who have reported the LPN's lack of care.

Reassign some of the LPN's client care to assistive personnel.

Answer and Explanation

The Correct Answer is C

Rationale:

A. Discussing the LPN's behavior with other nurses could potentially lead to gossip and does not address the core issue.

B. The charge nurse does not have authority to review personnel files; this is handled by management or HR.

C. The most appropriate first step is to investigate the client concerns directly. This provides objective information to determine if further action (coaching, reassignment, reporting to management) is necessary.

D. Reassigning client care to assistive personnel does not address the root cause of the problem and may not be an appropriate or effective solution without further investigation.

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Correct Answer is D

Explanation

Rationale:

A. Measuring I&O is a task typically assigned to APs or RNs, not specifically requiring the LPN’s scope of practice.

B. Obtaining a client’s weight is a basic task that can be performed by APs.

C. Providing postmortem care can be performed by LPNs, but this task is not as complex as some others.

D. Inserting a nasogastric tube requires skills and knowledge specific to LPNs, making it an appropriate task for them.

A. Demonstrate using the device and observe the staff returning the demonstration. B. Remind the staff to review the procedure manual prior to using the new pump. C. Identify the differences and new features of the device in a written brochure. D. Provide a written procedure for the use of the device for the staff to review.

Correct Answer is A

Explanation

Rationale:

A. Demonstrating and observing the staff using the device ensures that they can correctly operate the equipment and apply their learning practically.

B. Reviewing the procedure manual is helpful but does not ensure hands-on competency.

C. A written brochure provides information but does not involve practical application.

D. Providing a written procedure is useful but does not confirm that staff can use the device correctly in practice.

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A charge nurse has assigned a group of clients to a licensed practical nurse (LPN). The charge nurse receives reports from her assigned clients about the LPN's lack of care. Which of the following actions should the charge nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

At the beginning of the shift, an RN is preparing assignments for a licensed practical nurse (LPN) and an assistive personnel (AP). Which of the following tasks should the nurse assign to the LPN?

Correct Answer is D

Explanation

A nurse manager is preparing an inservice program for the nurses on the unit about the use of a new infusion pump. Which of the following teaching strategies is the most effective way to ensure that the staff can use the device correctly?

Correct Answer is A

Explanation

A nurse on a medical-surgical unit has accepted a transfer to the Intensive care unit (ICU). Prior to transfer to the ICU, the nurse completes an online critical care and emergency nursing course. The nurse is demonstrating which of the following ethical principles?

A charge nurse hears a provider speaking to a staff nurse in anger concerning incorrect supplies that are available to perform a procedure. Which of the following statements by the charge nurse is appropriate?

The charge nurse is planning to delegate client care tasks. Exhibits For each task identify the team member to which the nurse should delegate the task. Each task may be appropriate for more than 1 team member.

A client who is terminally ill tells a nurse on the medical-surgical unit that she feels hopeless. Which of the following statements by the nurse is appropriate?

A nurse is triaging clients in the emergency department. Which of the following clients should the nurse ask the provider to care for first?