A nurse is receiving change-of-shift report about four clients. Which of the following clients should the nurse ask the charge nurse to reassign to an RN?
A client who requires initial education about blood glucose monitoring
A client who requires an enteral feeding
A client who requires tracheostomy suctioning
A client who requires irrigation of an indwelling urinary catheter
The Correct Answer is A
A. A client who requires initial education about blood glucose monitoring:
Initial client teaching requires assessment, knowledge of the learning process, and evaluation - all of which are within the RN’s scope, not LPN or AP.
B. A client who requires an enteral feeding:
An LPN can safely administer an established enteral feeding, so this does not have to be reassigned to an RN.
C. A client who requires tracheostomy suctioning:
Tracheostomy suctioning of a stable patient is within the LPN’s scope of practice. Only unstable airway situations or assessment findings requiring intervention would necessitate an RN.
D. A client who requires irrigation of an indwelling urinary catheter:
LPNs are allowed to irrigate indwelling urinary catheters in most settings, so this task does not require RN reassignment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. A client who requires initial education about blood glucose monitoring:
Initial client teaching requires assessment, knowledge of the learning process, and evaluation - all of which are within the RN’s scope, not LPN or AP.
B. A client who requires an enteral feeding:
An LPN can safely administer an established enteral feeding, so this does not have to be reassigned to an RN.
C. A client who requires tracheostomy suctioning:
Tracheostomy suctioning of a stable patient is within the LPN’s scope of practice. Only unstable airway situations or assessment findings requiring intervention would necessitate an RN.
D. A client who requires irrigation of an indwelling urinary catheter:
LPNs are allowed to irrigate indwelling urinary catheters in most settings, so this task does not require RN reassignment.
Correct Answer is B
Explanation
A. Complete an incident report:
Reporting is important but is not the first step; client safety comes first.
B. Check the client for a change in condition:
The nurse’s priority is to assess the client for any adverse effects or changes related to the medication error before taking further actions.
C. Notify the charge nurse of the error:
Notification is appropriate after assessing the client’s current condition.
D. Contact the provider:
The provider should be contacted after assessment so that accurate information about the client’s status can be communicated.
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