A licensed practical nurse (LPN) is working with an RN to deliver care to a group of clients. Which of the following tasks should the LPN plan to perform?
Admitting a client who has chronic renal failure and is scheduled for peritoneal dialysis
Assisting the provider with the insertion of a chest tube for a client who has a pleural effusion
Monitoring a client who reports chest pain and whose laboratory findings for cardiac enzymes are pending
Performing a dressing change for a client who is 2 days postoperative following a total hip arthroplasty
The Correct Answer is D
Choice A reason: Admission assessments require comprehensive evaluation and clinical judgment, which are within the RN’s scope of practice. LPNs do not perform initial assessments or admissions for complex conditions such as renal failure.
Choice B reason: Chest tube insertion is an invasive procedure requiring advanced clinical skills and sterile technique. Assisting with this procedure is typically reserved for RNs or specially trained personnel.
Choice C reason: Monitoring a client with chest pain and pending cardiac enzyme results involves critical thinking and interpretation of lab data, which is outside the LPN’s scope. This task should be handled by an RN.
Choice D reason: LPNs are trained to perform routine wound care and dressing changes for stable postoperative clients. A client who is 2 days post-op from a total hip arthroplasty is typically stable, making this task appropriate for an LPN.
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Related Questions
Correct Answer is D
Explanation
Choice A reason: The NIH conducts biomedical and public health research but does not regulate or enforce laws related to medication approval. Its role is primarily investigative and academic.
Choice B reason: The CDC focuses on disease prevention and public health surveillance. It does not oversee drug testing or approval processes for medications.
Choice C reason: OSHA enforces workplace safety standards, including those in healthcare settings, but it does not regulate pharmaceuticals or drug testing.
Choice D reason: The FDA is the federal agency responsible for enforcing laws that ensure medications are safe and effective before being marketed to the public. It oversees clinical trials, labeling, manufacturing standards, and post-market surveillance.
Correct Answer is A
Explanation
Choice A reason: This is the correct answer. The Minimum Data Set (MDS) is a standardized assessment tool used in long-term care settings to evaluate residents' physical, psychological, and cognitive functioning. It supports care planning and is essential for regulatory compliance and reimbursement.
Choice B reason: MDS forms are not routinely faxed to providers. Instead, they are electronically submitted to regulatory bodies and used internally for care planning and quality monitoring.
Choice C reason: MDS assessments are not completed monthly by providers. They follow a federally mandated schedule, typically upon admission, quarterly, annually, and when there is a significant change in the resident’s condition.
Choice D reason: While medication data may be included in the broader resident assessment, the MDS itself does not provide a separate analysis of prescribed medications. That function is typically handled through pharmacy reviews and medication reconciliation processes.
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