A charge nurse is preparing assignments for a licensed practical nurse (LPN). Which of the following tasks should the nurse assign to the LPN?
Assess a client who was transferred from PACU.
Teach a client how to use an incentive spirometer prior to surgery.
Insert a urinary catheter for a client.
Update a client's plan of care.
The Correct Answer is C
Rationale:
A. Assess a client who was transferred from PACU: Initial assessments of post-anesthesia clients require the expertise of an RN due to the potential for rapid clinical changes. This task falls outside the LPN’s scope of practice.
B. Teach a client how to use an incentive spirometer prior to surgery: Client education related to preoperative care is a nursing responsibility requiring critical thinking and evaluation skills, which are typically within the RN’s role, not the LPN's.
C. Insert a urinary catheter for a client: Inserting a urinary catheter is a common, routine procedure that is within the LPN’s scope of practice. It does not require advanced assessment or critical decision-making.
D. Update a client's plan of care: Developing or updating a plan of care involves clinical judgment and ongoing evaluation, which are responsibilities of the RN, not the LPN. LPNs may contribute data but do not revise plans independently.
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Related Questions
Correct Answer is C
Explanation
Rationale:
A. Obtain arterial blood gases from the client: While ABGs provide valuable information about oxygenation and ventilation, they are not the immediate first step when addressing a sudden change in respiratory status. Physical assessment should precede diagnostic testing to guide urgency and intervention.
B. Document the findings in the client's medical record: Documentation is important but should not take priority over assessing and addressing the client's respiratory distress. Delaying intervention to chart findings could result in clinical deterioration.
C. Auscultate the client for bilateral breath sounds: Auscultation is the immediate priority to determine if the client is ventilating adequately and whether there is unequal air entry, which could indicate complications like tube displacement or pneumothorax.
D. Perform in-line suctioning for the client: In-line suctioning may be appropriate if the client has secretions or airway obstruction, but suctioning without first assessing breath sounds may not address the underlying cause of desaturation or restlessness.
Correct Answer is B
Explanation
Rationale:
A. Decreased magnesium level: Ketoconazole is not commonly associated with significant changes in magnesium levels. Electrolyte disturbances are not primary concerns with this antifungal medication when used for Cushing’s disease.
B. Liver dysfunction: Ketoconazole carries a risk of hepatotoxicity, which can manifest as elevated liver enzymes, jaundice, or abdominal pain. Liver function must be closely monitored throughout therapy to prevent serious complications.
C. Bone marrow suppression: This is more often linked to chemotherapy or certain antibiotics, not ketoconazole. Hematologic adverse effects are not typical with this medication.
D. Increased triglycerides: Ketoconazole does not typically raise triglyceride levels. It primarily affects steroid synthesis and liver function, making lipid elevation an uncommon or indirect concern.
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