A nurse is assigning client care to an RN and an LVN.
Which of the following tasks must they assign to an RN only and NOT to an LVN? All parts of the answer must be restricted to an RN only.
Creating a plan of care for a client who is recovering following a stroke.
Assessing a pressure injury on a client who is on bed rest.
Providing oral suctioning for a client who has pneumonia.
Administering internal feeding to a client who has a nasogastric tube.
Inserting a urinary catheter for a client who has urinary retention.
The Correct Answer is A
Choice A rationale
Creating a plan of care for a client recovering from a stroke requires comprehensive assessment, synthesis of complex data, and the establishment of nursing diagnoses and interventions. This falls within the scope of practice of a registered nurse who has the education and expertise in complex patient management.
Choice B rationale
Assessing a pressure injury involves observing and documenting wound characteristics. While an RN may perform this, an LVN, under the supervision of an RN, can also contribute to this task by collecting and reporting data about the wound.
Choice C rationale
Providing oral suctioning is a basic nursing skill that can be performed by both RNs and LVNs, following appropriate training and established protocols, to maintain airway patency for a client with pneumonia.
Choice D rationale
Administering internal feedings through a nasogastric tube is a task that can be delegated to an LVN who has received specific training and demonstrated competency, under the supervision of an RN, provided the client is stable and the feeding protocol is well-established.
Choice E rationale
Inserting a urinary catheter can be performed by both RNs and LVNs who have received the necessary education, training, and demonstrated competency in this invasive procedure, according to facility policies and state regulations.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["7.9"]
Explanation
Step 1: Identify the desired dose: 165 mg.
Step 2: Identify the concentration of the medication: 105 mg in 5 mL.
Step 3: Set up a proportion to find the required volume (x mL):
105 mg / 5 mL = 165 mg / x mL
Step 4: Solve for x:
105 × x = 165 × 5
Step 5:
105x = 825
Step 6:
x = 825 ÷ 105
Step 7:
x ≈ 7.857 mL
Final Answer: The nurse should give approximately 7.9 mL.
Correct Answer is A
Explanation
Choice A rationale
Self-evaluation skills involve the ability to reflect on one's performance, acknowledge strengths, and identify areas for improvement based on feedback. The graduate nurse's act of reflecting on the positive and negative feedback received from the nurse manager directly demonstrates self-evaluation.
Choice B rationale
Communication skills involve the ability to convey information effectively and respectfully. While the initial meeting with the manager likely involved communication, the scenario focuses on the nurse's internal reflection afterward, not the interaction itself.
Choice C rationale
Interpersonal skills relate to how a nurse interacts with others, building rapport and working collaboratively. The scenario doesn't provide information about the nurse's interactions with colleagues or patients, but rather her individual reflection.
Choice D rationale
Problem-solving skills involve identifying issues and finding solutions. The scenario doesn't describe a problem the nurse is actively trying to resolve, but rather her processing of feedback on her past performance. .
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