A nurse on a medical surgical unit has received report on four clients. There is an LVN, RN, and UAP working. Which of the following clients would best to assign to the RN?
Reinforcing teaching with a patient who is learning to walk with a quad cane
A new admission to the unit complaining of chest pain
Inserting an NGT for a client who is unable to eat
Calculating intake and output for the unit
The Correct Answer is B
A. Reinforcing teaching with a patient who is learning to walk with a quad cane: Reinforcing teaching can be done by an LVN, as it involves stable, predictable outcomes.
B. A new admission to the unit complaining of chest pain: A new admission with chest pain requires a comprehensive assessment and potential critical thinking and intervention, which are within the scope of an RN.
C. Inserting an NGT for a client who is unable to eat: Inserting an NGT can be done by an RN or LVN, but it does not require the comprehensive assessment and critical thinking that managing a new admission with chest pain does.
D. Calculating intake and output for the unit: Calculating intake and output is a task that can be delegated to a UAP.
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Related Questions
Correct Answer is C
Explanation
A. Discuss the benefits of losing weight: This might involve informing the client (knowledge acquisition), but it doesn't necessarily involve a higher-level cognitive process.
B. Encourage the client to share their feelings about dietary habits: Sharing feelings involves the affective domain, which includes emotions and attitudes.
C. Review strategies for losing weight: By reviewing strategies for losing weight, the nurse is helping the client understand and apply information about healthy weight management techniques. This goes beyond memorization and encourages the client to think critically about their weight loss plan.
D. Create a diet for the client: Creating a diet for the client is more of an action plan and could involve multiple domains, but it primarily involves the psychomotor domain when it comes to implementation.
Correct Answer is ["A","C","D"]
Explanation
A. Sit patiently, quietly, and engaged. This shows the nurse is present and supportive, allowing the client to feel comfortable and respected.
B. Use open-ended questions starting with "Why."Questions starting with "Why" can be perceived as accusatory or confrontational, potentially increasing the client's discomfort.
C. Use open-ended questions starting with "Tell." Open-ended questions encourage the client to express themselves more freely, facilitating communication.
D. Allow the client time to think and reflect. Giving the client time respects their need to process thoughts and feelings before responding.
E. Use close-ended questions to establish an increase in communication. Close-ended questions can limit responses and do not encourage the client to open up or elaborate on their feelings.
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