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

Answer and Explanation

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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Correct Answer is ["A","B","C","E","F"]

Explanation

A. Chest x-ray: Essential for visualizing the heart and lungs, which is critical in a patient with symptoms of heart failure and respiratory issues.
B. Basic metabolic profile (BMP): Important to assess electrolytes, renal function, and glucose levels, especially given the patient's history of diabetes and hypertension.
C. 12-lead ECG: Necessary for evaluating heart rhythm, rate, and to look for any ischemic changes, especially since the patient is experiencing tachycardia.
D. Doppler studies of lower extremities: While useful for assessing peripheral vascular disease, it is not as immediately relevant as the other tests for a direct diagnosis of heart failure.

E. Brain natriuretic peptide (BNP) level: A key diagnostic test for heart failure as elevated levels are indicative of cardiac stress.
F. Echocardiogram: Provides critical information on heart function and structure, which is essential for diagnosing and managing heart failure.

A. "I can have mustard on my sandwiches." B. "I can season foods with celery salt." C. "I can have a frozen juice bar for dessert!" D. "I can drink vegetable juice with my meals."

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.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is ["A","B","C","E","F"]

Explanation

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Correct Answer is C

Explanation

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