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 B
Explanation
A. Ensures the client's bed is in the locked position:
This is correct and prevents the bed from moving during transfer.
B. Places the wheelchair on the client's weak side:
The wheelchair should be placed on the client’s strong side to allow the client to pivot and transfer more safely. Placing it on the weak side increases fall risk.
C. Removes the foot rests from the client's wheelchair:
This is correct and prevents tripping or stumbling during transfer.
D. Applies a gait belt to the client's waist:
This is correct and promotes safety during transfers.
Correct Answer is C
Explanation
A. Select a potential intervention to lower the current infection rate:
Interventions are chosen after identifying and analyzing baseline data.
B. Incorporate the process change into daily practice within the facility:
Implementation occurs after identifying the problem and planning interventions.
C. Identify current infection rates from facility data:
The first step in QI is collecting and reviewing baseline data to understand the current problem and measure progress.
D. Determine if the implemented change has lowered the current infection rate:
This is the evaluation step, which occurs after the intervention is implemented.
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