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 D

Explanation

Rationale:

A. Reassuring the partner is important for emotional support but does not directly impact the immediate safety of clients.

B. Reinforcing a dressing is important for wound care but does not address urgent concerns.

C. Taking a telephone prescription is necessary but not as immediate as addressing a potential complication.

D. Assessing a client with unilateral calf pain is the priority as it may indicate a serious condition such as deep vein thrombosis (DVT), which requires immediate evaluation and intervention.

A. A client who has pneumonia and has an axillary temperature of 38° C (101° F) B. A client who has diarrhea and requests clear liquids for breakfast C. A client who has a cast on the left leg and reports numbness and paresthesia D. A client who has type 1 diabetes mellitus and has a fasting blood glucose level of 150

Correct Answer is C

Explanation

Rationale:

A. A client who has pneumonia and has an axillary temperature of 38° C (101° F) has an elevated temperature, but it is less critical than immediate concerns with circulation.

B. A client who has diarrhea and requests clear liquids for breakfast needs dietary adjustments but does not present as urgent.

C. A client who has a cast on the left leg and reports numbness and paresthesia could be experiencing complications such as compartment syndrome, which is an urgent condition requiring immediate assessment.

D. A client who has type 1 diabetes mellitus and has a fasting blood glucose level of 150 is important to monitor but not as immediately critical as potential complications with circulation.

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