A nurse is planning care for a group of clients at the beginning of the shift. Which of the following tasks should the nurse assign to the licensed practical nurse (LPN)?

Analyzing data to identify issues for a client who has uncontrolled diabetes mellitus

Assisting a client with crutch walking following knee replacement surgery

Evaluating the outcomes of a new postoperative client

Developing the plan of care for a client who has an amputation

Answer and Explanation

The Correct Answer is B

Rationale:

A. Analyzing data to identify issues for a client who has uncontrolled diabetes mellitus requires a higher level of clinical judgment and is typically performed by an RN.

B. Assisting a client with crutch walking following knee replacement surgery is an appropriate task for an LPN, as it involves support with activities of daily living and mobility.

C. Evaluating the outcomes of a new postoperative client involves assessing the effectiveness of care and requires RN-level assessment skills.

D. Developing the plan of care for a client who has an amputation involves comprehensive assessment and planning, which is usually the responsibility of an RN.

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

Explanation

A. While the client's temperature is not extremely high, it is elevated and persistent. Requesting an antipyretic or further evaluation may be warranted to prevent potential complications.

B. Insertion of NG tube for decompression is not necessary as the client is passing flatus and has bowel sounds in all quadrants, indicating normal gastrointestinal function.

C. Oxygen 2 to 4 L/min via nasal cannula is not necessary since the client's SpO2 levels are within normal range on room air.

D. The client's urinary output is adequate (400 mL over 6 hours), so a catheter is not required at this time.

E. The lack of drainage from the wound drain could indicate a problem that requires immediate attention. This could prevent complications like infection or fluid accumulation.

A. A client who has acute pancreatitis B. A client who is one-day postoperative following a total abdominal hysterectomy C. A client who had a stroke and is to be admitted D. A client who has terminal end-stage renal disease

Correct Answer is B

Explanation

Rationale:

A. Acute pancreatitis may require specialized medical management that might be beyond the RN’s experience from a different unit.

B. A client one-day postoperative following a total abdominal hysterectomy is appropriate for an RN with general surgical experience, as it involves standard postoperative care.

C. A client who had a stroke may require more specialized neuro care and assessment than the RN might be familiar with.

D. Terminal end-stage renal disease requires specialized care and experience in managing complex chronic conditions.

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A nurse is planning care for a group of clients at the beginning of the shift. Which of the following tasks should the nurse assign to the licensed practical nurse (LPN)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is postoperative. Exhibits Which of the following should the nurse request as a recommendation in an SBAR report to the provider? Select All That Apply

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

Explanation

An RN from the maternal-newborn unit is being floated to a medical-surgical unit. Which of the following clients should the charge nurse on the medical-surgical unit plan to assign to the RN?

Correct Answer is B

Explanation

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