A client with frequent watery stools and a possible Clostridium difficile infection is hospitalized with dehydration. Which nursing action should the charge nurse assign to an LPN?

Performing assessments of the client's hydration status.

Administering the prescribed metronidazole 500 mg orally to the client.

Reviewing client's medical history for any risk factors for diarrhea.

Explaining the purpose of the ordered stool cultures to the client and family.

Answer and Explanation

The Correct Answer is B

A.   While LPNs can perform some assessments, the charge nurse should assign this task to an RN. Assessing hydration status requires critical thinking and a comprehensive understanding of the client's overall clinical condition, which typically falls within the RN’s scope of practice.
B.   Administering medications, including antibiotics like metronidazole, is within the scope of practice for LPNs. As long as the LPN is competent in administering medications and there are no specific contraindications for the client, this task can be appropriately assigned.
C.   This task involves critical thinking and comprehensive analysis of the client's medical history, which is typically conducted by an RN. While LPNs may review aspects of the medical history, the charge nurse should assign more complex evaluations and assessments to RNs.
D.   While LPNs can provide some patient education, explaining the rationale behind specific tests, especially in the context of complex infections, typically requires the knowledge and expertise of an RN. This task may involve more detailed clinical reasoning and the ability to address specific questions and concerns that the client or family may have.

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Correct Answer is ["A","E"]

Explanation

A. This is a routine task that can be safely delegated to a NAP. It does not require complex decision- making or assessment skills.
B. This task requires the ability to assess the client's condition and determine the appropriate level of restraint. It is a task that should be performed by an RN or licensed practical nurse (LPN).
C. While this may seem like a simple task, it requires the ability to monitor the client for signs of withdrawal and to intervene if necessary. It is a task that should be performed by an RN or LPN.
D. This task requires the ability to assess the client's behavior and to intervene if necessary. It is a task that should be performed by an RN or LPN.
E. This is a therapeutic activity that can be delegated to a NAP. It can help to stimulate the client's cognitive function and provide social interaction.
F. This task requires the ability to assess the client's condition and identify potential complications. It is a task that should be performed by an RN or LPN.

A. “What I think you should do is wait for the days when you feel better and do your grocery shopping then." B. "Let's look at some other resources to solve this problem." C. "I would be happy to do whatever I can to help you." D. "I won't be able to shop for you today because I have to get home to my family."

Correct Answer is B

Explanation

A. This response dismisses the client’s immediate needs and does not offer a supportive or constructive solution. It puts the responsibility on the client without addressing her request for assistance or exploring alternatives.
B. This is an appropriate and constructive response. It acknowledges the client’s situation and shows willingness to help find alternative resources, such as community services, meal delivery programs, or assistance from family or friends. This approach empowers the client and provides practical support.
C. While this response expresses willingness to help, it goes against the nurse's job description by implying that the nurse would perform tasks that are not permitted. It's important for the nurse to maintain professional boundaries and adhere to policies regarding their role.
D. This response is not appropriate because it focuses on the nurse's personal reasons and does not address the client's needs. It may come off as dismissive and fails to offer any alternative solutions or support.

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A client with frequent watery stools and a possible Clostridium difficile infection is hospitalized with dehydration. Which nursing action should the charge nurse assign to an LPN?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning to assign care activities to nursing assistive personnel (NAP) on her team. Which of the following activities can the nurse assign to the NAP? [SELECT ALL THAT APPLY]

Correct Answer is ["A","E"]

Explanation

Correct Answer is B

Explanation

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