A nurse is delegating care for a group of clients. Which of the following clients should the nurse assign to the LPN?

A client who is scheduled for an endoscopy later today and requires an enema

A newly admitted client who has sickle cell anemia and requires the development of an initial plan of care

A client who had a myocardial infarction and will be transferring to the unit from the CCU

A newly admitted client who has diabetes mellitus and requires initial teaching on self-administration of insulin

Answer and Explanation

The Correct Answer is A

Rationale:
a.   Administering an enema for a scheduled endoscopy is within the scope of practice for an LPN. It involves a task that is repetitive, stable, and does not require critical thinking.
b.   Developing an initial plan of care for a client with sickle cell anemia involves critical thinking and assessment, which are within the scope of practice for an RN.
c.   A client transferring from the CCU after a myocardial infarction requires close monitoring and assessment, which are typically within the scope of practice for an RN.
d.   Teaching a newly admitted client about self-administration of insulin involves education, assessment, and critical thinking, which are typically within the scope of practice for an RN.

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Correct Answer is C

Explanation

a. Delaying the client's discharge without exploring other options may not address the partner's concerns and could lead to further issues.
b. While placing the client in a long-term care facility may be an option, it should be discussed with the case manager and considered alongside other options.
c. Contacting the case manager is appropriate to discuss the partner's concerns and explore alternative discharge arrangements that meet the client's needs.
d. Requesting another family member to assist may not be feasible or address the partner's ability to provide care.

A. Is the client’s family present so the AP can show them how to turn the client B. Does the AP have time to change the client’s central IV-line dressing after turning her? C. Has data been collected about specific client needs related to turning? D. Has the AP checked the client’s pain level prior to turning her?

Correct Answer is C

Explanation

54) A nurse is preparing to delegate bathing and turning of a newly admitted client who has end-stage bone cancer to experienced assistive personnel. Which of the following assessments should the nurse make before delegating care?
a. Is the client’s family present so the AP can show them how to turn the client
b. Does the AP have time to change the client’s central IV-line dressing after turning her?
c. Has data been collected about specific client needs related to turning?
d. Has the AP checked the client’s pain level prior to turning her?

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A nurse is delegating care for a group of clients. Which of the following clients should the nurse assign to the LPN?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

14) A nurse is preparing to discharge a client who has end- stage heart failure. the client's partner tells the nurse she can no longer handle caring for the client. which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is preparing to delegate bathing and turning of a newly admitted client who has end-stage bone cancer to experienced assistive personnel. Which of the following assessments should the nurse make before delegating care?

Correct Answer is C

Explanation

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