A nurse is reviewing client care assignments prior to the beginning of a shift. Which of the following client assignments should the nurse identify as being outside the scope of practice for an LPN?
A client who has a new onset of chest pain
A client who has a tracheostomy
A client who is receiving enteral feedings
A client who has urinary retention
The Correct Answer is A
A. A client who has a new onset of chest pain requires immediate assessment and intervention by an RN or healthcare provider with appropriate training and licensure due to the potential seriousness of the condition. Assessing and managing chest pain typically involves performing an ECG, administering medications, and coordinating further diagnostic tests or interventions, which are typically within the scope of practice of an RN or higher.
B. A client who has a tracheostomy may require routine tracheostomy care and suctioning, which are within the scope of practice of an LPN under the supervision of an RN or healthcare provider.
C. A client who is receiving enteral feedings may require monitoring of feeding tube placement, administration of enteral feedings, and assessment for complications related to enteral nutrition, which are within the scope of practice of an LPN.
D. A client who has urinary retention may require urinary catheterization or bladder scan assessment, which are within the scope of practice of an LPN under the supervision of an RN or healthcare provider.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
- A. Mustard often contains a high amount of sodium, which is not recommended for a client trying to limit sodium intake.
- B. Celery salt is primarily composed of salt and should be avoided when trying to reduce sodium consumption.
- C. Frozen juice bars are generally low in sodium, making them a suitable choice for dessert for someone with cardiomyopathy looking to limit sodium intake.
- D. Many vegetable juices are high in sodium, especially if they are canned or bottled, and should be limited in a low-sodium diet.
Correct Answer is B
Explanation
A. Incorrect. Nicotine patches are intended to help individuals quit smoking by providing a controlled dose of nicotine without the harmful chemicals found in cigarettes. Continuing to smoke while using nicotine patches can increase the risk of nicotine toxicity and is not recommended.
B. Correct. Joining a support group is a beneficial strategy for smoking cessation as it provides social support, encouragement, and accountability, which can increase the likelihood of success.
C. Incorrect. Nicotine replacement therapy, including patches, gum, and lozenges, does not cause cancer. It helps individuals quit smoking by reducing withdrawal symptoms and cravings associated with nicotine dependence.
D. Incorrect. Varenicline (Chantix) is a medication used to help people quit smoking by reducing withdrawal symptoms and blocking the effects of nicotine. It does not make individuals addicted to nicotine; rather, it helps them overcome nicotine addiction.
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