A charge nurse is making assignments for a medical-surgical unit. Which of the following clients is appropriate to assign to a licensed practical nurse?
A client who has emphysema and has an oxygen saturation level of 92%
A client who has dehydration and is being admitted from the emergency department
A client who is scheduled to receive 2 units of RBCs following a hip replacement
A client who is scheduled to start oral nutrition 2 days after a cerebrovascular accident
The Correct Answer is A
Rationale:
A. A client with emphysema and an oxygen saturation of 92% is stable and within an expected range for this condition. This client’s care can be appropriately managed by an LPN.
B. Admission assessments must be completed by an RN, not an LPN.
C. Administration of blood products (RBCs) requires an RN due to the need for close monitoring and rapid intervention for transfusion reactions.
D. Initiating oral nutrition after a stroke involves swallowing assessment and risk for aspiration, which must be performed by an RN.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. A list of regularly prescribed medications is part of the written medical record and medication reconciliation process, but it is not the priority in a verbal transfer report.
B. The date of the last bowel movement is important for ongoing care but is not critical for immediate safety during transfer.
C. Level of consciousness provides essential information about the client’s current condition and potential safety needs, making it a priority in a verbal transfer report.
D. Laboratory results within the expected reference range do not require urgent communication since they do not indicate acute concerns.
Correct Answer is A
Explanation
A. Attaching restraints to a non-moving part of the bed frame prevents injury when the head or foot of the bed is adjusted. This ensures that the tension on the restraint remains constant and does not accidentally tighten or pull on the client’s limb.
B. A quick-release knot must be used instead of a square knot to allow for immediate removal in the event of an emergency. Square knots are difficult to untie quickly and could jeopardize client safety if the client’s airway or circulation becomes compromised.
C. Restraints must typically be removed and the client’s skin and circulation assessed at least every 2 hours rather than every 4 hours. Frequent neurovascular checks and range-of-motion exercises are essential to prevent complications such as pressure injuries or nerve damage.
D. Restraint prescriptions cannot be written on a "PRN" or as-needed basis because they require a specific, time-limited order based on a current assessment. The provider must conduct a face-to-face evaluation and renew the prescription according to facility policy and regulatory standards.
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