A charge nurse is making assignments for a group of clients.
Which of the following clients should the nurse assign to a licensed practical nurse?
A client who is postoperative following a hip arthroplasty and has a respiratory rate of 10/min
A client who has a urinary output of 30 mL in the past hour
A client who is newly admitted and requires an admission assessment
A client who has a new diagnosis of diabetes mellitus and is awaiting teaching about meal planning
The Correct Answer is B
A. A client who is postoperative following a hip arthroplasty and has a respiratory rate of 10/min likely requires closer monitoring and assessment of respiratory status. This may be more suitable for a registered nurse (RN), especially considering the potential for respiratory complications postoperatively. nd dietary considerations.
B.A client with a urinary output of 30 mL in the past hour may require assessment and intervention related to urinary function. While this may not necessarily require the expertise of an RN, it may be within the scope of practice for an LPN to monitor urinary output and report findings to the RN.Option C, a newly admitted client requiring an admission assessment, should also be assigned to an RN, as this involves a comprehensive assessment that may require identifying potential risks and initiating appropriate interventions.
D. A client with a new diagnosis of diabetes mellitus awaiting teaching about meal planning may benefit from education provided by an RN or a certified diabetes educator (CDE) due to the complexity of diabetes management and the need for individualized teaching.Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Correct answer: D
veracity, in (option A) is incorrect because it refers to telling the truth and being honest with the client. While the nurse's action in obtaining a healthy meal for the client is a positive action, it is not directly related to veracity.
countertransference in (option B) is incorrect because it, refers to the nurse's emotional or personal reaction towards the client that may influence their behaviour or response. It is not applicable to the scenario described.
C. Boundary Crossing happens when a professional line is blurred. In this case, the nurse prioritizes the client's well-being, not a personal connection.
D. Promoting trust involves actions that build rapport, establish a therapeutic relationship, and demonstrate caring and empathy towards the client. By interrupting the bath to obtain a healthy meal for the client, the nurse shows responsiveness to the client's needs, which can enhance trust and confidence in the nurse's care
Correct Answer is C
Explanation
Tell the APS to stop the conversation.
Respecting and maintaining client confidentiality are an essential ethical and legal responsibility for healthcare professionals. When a nurse overhears APs discussing a client's information inappropriately, it is important to intervene and address the situation to protect the client's privacy. Option C, telling the APs to stop the conversation, is the appropriate initial action to take.
informing the client of the APs' actions in (option A), may not be necessary or appropriate unless the client's participation or consent is required due to the nature of the conversation or potential harm caused.
submitting an incident report to the risk manager in (option B), might be considered if the incident is significant or if the inappropriate conversation continues despite intervention. Incident reports are often used to document and address any potential breaches of client confidentiality.
documenting the event in the client's progress notes in (option D), may not be the primary action to take in this situation. While documentation of the incident may be necessary, addressing and stopping the inappropriate conversation should be the immediate priority.
In summary, when a nurse overhears APs discussing a client, the nurse should first intervene and tell the APs to stop the conversation to protect the client's confidentiality and privacy. Further actions, such as submitting an incident report or documenting the event, may be appropriate depending on the severity and ongoing nature of the situation.
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