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

Explanation

A. Correct. Viral pneumonia can be highly contagious, so placing the client in a private room can help prevent the spread of the infection to other patients.
B. Incorrect. Azithromycin is an antibiotic typically used for bacterial infections and would not be indicated for viral pneumonia.
C. Incorrect. Pneumococcal immunization is effective for preventing bacterial pneumonia caused by Streptococcus pneumoniae but is not indicated for viral pneumonia.
D. Incorrect. Limiting fluid intake to 1 L per day is not appropriate for a client with viral pneumonia, as adequate hydration is important for supporting the body's immune response and preventing dehydration.

A. The client's blood pressure has been reduced. B. The client exhibits diaphoresis. C. The client is grimacing. D. The client has an elevated heart rate.

Correct Answer is A

Explanation

A. This is the correct answer. Reduction in blood pressure is a common therapeutic response to morphine administration. Morphine acts as a vasodilator, which can lead to decreased blood pressure.
B. Diaphoresis, or sweating, is not necessarily a therapeutic response to morphine. It may indicate other physiological responses or side effects.
C. Grimacing suggests pain or discomfort, which is not a therapeutic response but rather an indication that the pain relief from morphine may not be sufficient.
D. An elevated heart rate is not typically a therapeutic response to morphine and may indicate pain, anxiety, or other factors.

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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

A nurse is caring for a client who has viral pneumonia. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is collecting data from a client who received IV morphine for postoperative pain. The nurse should identify that which of the following findings indicates a therapeutic response to the medication?

Correct Answer is A

Explanation

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