A charge nurse is assigning care for four clients. Which of the following tasks should the nurse identify as within the nursing role of the licensed practical nurse?
Provide discharge teaching for a client following an appendectomy.
Evaluate the plan of care for a client who had a stroke.
Assess a client following a right hip arthroplasty.
Administer oral medications to a client who has heart failure.
The Correct Answer is D
Rationale:
A. Provide discharge teaching for a client following an appendectomy: Discharge teaching involves comprehensive education, evaluation of learning needs, and clinical judgment—responsibilities that fall within the scope of practice of a registered nurse (RN).
B. Evaluate the plan of care for a client who had a stroke: Evaluating and modifying the plan of care requires critical thinking and nursing judgment, which are functions reserved for RNs. LPNs may contribute to care but do not evaluate the overall plan.
C. Assess a client following a right hip arthroplasty: Initial assessments, especially after surgery, involve interpreting data and identifying complications, which are RN responsibilities. LPNs may collect data but do not perform comprehensive assessments.
D. Administer oral medications to a client who has heart failure: Administering routine oral medications is well within the LPN’s scope of practice. LPNs are trained to safely administer medications and monitor for expected and adverse effects in stable clients.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Monitor the client for bleeding: An aPTT of 110 seconds is significantly prolonged and indicates a high risk of bleeding. The therapeutic range for heparin therapy is typically 1.5 to 2.5 times the normal aPTT (around 45–70 seconds). At 110 seconds, bleeding complications are a major concern and should be closely monitored.
B. Maintain the client's heparin infusion at the current rate: Continuing the current infusion would further elevate the aPTT and increase the risk of serious bleeding. The infusion rate should likely be reduced or temporarily stopped under provider guidance based on protocol.
C. Administer vitamin K to the client: Vitamin K reverses the effects of warfarin, not heparin. For heparin overdose or excessive anticoagulation, protamine sulfate is the antidote, not vitamin K.
D. Increase the client's heparin infusion: Increasing the infusion would dangerously elevate the aPTT even further, placing the client at an even higher risk for spontaneous bleeding and hemorrhage. This action would be inappropriate.
Correct Answer is D
Explanation
Rationale:
A. Felt conflict: This stage involves emotional responses such as anxiety, anger, or frustration after individuals become aware of the conflict. It reflects personal involvement but occurs after the initial potential for conflict is recognized.
B. Conflict aftermath: This is the final stage of the conflict process. It refers to the outcomes or consequences of how the conflict was managed, whether positively resolved or unresolved and lingering.
C. Manifest conflict: At this stage, the conflict becomes open and observable, such as through verbal arguments or behaviors. It involves action and occurs after the earlier stages have developed.
D. Latent conflict: This is the first stage where conditions exist that could lead to conflict, such as poor communication, role ambiguity, or resource limitations. No one may be aware yet, but the potential for disagreement is present.
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