A nurse is planning care for four clients and is assigning tasks to a licensed practical nurse (LPN) and an assistive personnel (AP). Which of the following should the nurse assign to the LPN?
Measure 1&O for a client who has an indwelling urinary catheter.
Reinforce teaching to a client to begin taking enoxaparin at home following a hip arthroplasty.
Develop a plan of care for a client who has cholecystitis.
Complete an admission assessment for a client who has COPD.
The Correct Answer is B
Rationale:
A. Measuring I&O can be performed by an AP, as it does not require advanced skills or clinical judgment.
B. Reinforcing teaching about medication is within the LPN's scope of practice, as LPNs are trained to provide education and support based on the teaching provided by RNs or physicians.
C. Developing a plan of care is generally a responsibility of the RN, as it involves comprehensive assessment and planning.
D. Completing an admission assessment is a task for RNs due to its complexity and the need for a detailed clinical evaluation.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. "I am sure these feelings will pass once you go home." is dismissive and does not address the client's current emotional state.
B. "Tell me what you understand about your illness." opens up a dialogue for the client to express their feelings and concerns, which can help in assessing their emotional state and providing support.
C. "Tell me why you feel hopeless." might be too direct and could make the client feel pressured.
D. "If I were you, I would ask for a referral to hospice care." could be perceived as judgmental and does not address the client’s immediate feelings of hopelessness.
Correct Answer is B
Explanation
Rationale:
A. A client who is 3 days postoperative following a craniotomy requires careful monitoring due to potential complications from brain surgery, so vital signs should be taken by a nurse.
B. A client who is 3 days postoperative following gastric bypass surgery is stable enough for an AP to obtain vital signs, as the risk of immediate postoperative complications is lower compared to more recent surgeries.
C. A client who is 2 hr postoperative following an abdominal hysterectomy requires close monitoring due to the recent surgery, so vital signs should be obtained by a nurse.
D. A client who is 1 hr postoperative following a thyroidectomy requires vigilant monitoring for potential complications from recent surgery, which should be done by a nurse.
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