A nurse is reviewing his client care assignments after receiving a change-of-shift report.
The nurse should notify the charge nurse that which of the following tasks should be reassigned to an RN?
Inserting an indwelling urinary catheter.
Suctioning a client's new tracheostomy.
Administering heparin subcutaneously.
Collecting a stool specimen.
The Correct Answer is B
Choice A rationale
Inserting an indwelling urinary catheter is within the scope of practice for licensed practical nurses (LPNs) when properly trained. This task does not require reassignment to an RN.
Choice B rationale
Suctioning a new tracheostomy requires advanced assessment and intervention skills to manage potential complications like airway obstruction. This critical task necessitates reassignment to an RN for proper execution.
Choice C rationale
Administering heparin subcutaneously is a routine medication task that LPNs are typically trained to perform within their scope of practice. No reassignment is necessary.
Choice D rationale
Collecting a stool specimen is a basic task that LPNs and assistive personnel can perform, depending on facility policies. This does not require RN-level expertise. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Comparing current laboratory values to previous results is an activity in the evaluation phase, focusing on outcome analysis and progress tracking. It is not part of the implementation phase, which involves putting planned actions into effect.
Choice B rationale
Establishing priorities occurs in the planning phase, where the nurse determines the order and urgency of interventions. It does not fall under implementation, which includes executing the established care plan.
Choice C rationale
Asking the client about pain pertains to the assessment phase, which involves gathering subjective and objective data to inform care decisions. Implementation focuses on carrying out interventions rather than data collection.
Choice D rationale
Reinforcing teaching about the client’s diagnosis is a clear action within the implementation phase, which is centered on executing the care plan. Teaching supports client understanding and self-management, directly aligning with this phase’s goals.
Correct Answer is B
Explanation
Choice A rationale
A living will does not need to be renewed with each hospitalization unless explicitly required. A living will documents preferences for medical care during terminal or incapacitated states, and its validity persists unless revoked or updated by the client.
Choice B rationale
A living will allows individuals to specify medical treatments they want or do not want if terminally ill or incapacitated, reflecting their autonomy and preferences for end-of-life care in adherence to legal and ethical guidelines.
Choice C rationale
A health care proxy does not mandate appointing a relative. Individuals may designate anyone they trust to make medical decisions on their behalf, promoting autonomy and ensuring their values are respected if they become incapacitated.
Choice D rationale
Advance directives can be changed at any time to reflect current preferences. Clients may update their directives to ensure alignment with their evolving health care goals, providing flexibility in care planning.
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