A nurse on a medical-surgical unit is caring for a group of clients with the assistance of a licensed practical nurse (LPN) and assistive personnel. Which of the following tasks should the nurse assign to the LPN?
Accompanying a client who just had a wound debridement to physical therapy
Obtaining a urine specimen from an older adult client
Providing postmortem care for a client who just died
Reinforcing dietary teaching with a client who has heart disease
The Correct Answer is D
- Choice A: Accompanying a client who just had a wound debridement to physical therapy.
- Rationale: This task involves monitoring the client's status during transport and potentially during the therapy session, which is within the scope of practice for an RN due to the recent surgical procedure and the need for assessment skills.
- Choice B: Obtaining a urine specimen from an older adult client.
- Rationale: While an LPN can perform this task, it is more appropriate for assistive personnel to carry out under the supervision of an RN or LPN, as it does not require the advanced skills of an LPN.
- Choice C: Providing postmortem care for a client who just died.
- Rationale: Postmortem care can be performed by an LPN or assistive personnel. However, it does not require the clinical judgment or advanced skills of an LPN, making it a task that could be delegated to assistive personnel.
- Choice D: Reinforcing dietary teaching with a client who has heart disease.
- Rationale: This task requires an understanding of disease processes and the ability to educate clients, which are within the scope of practice for an LPN. It is a suitable task to delegate to an LPN, who can reinforce teaching initiated by an RN.
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Related Questions
Correct Answer is A
Explanation
a. In emergency situations where the client is unconscious and no legal representative is available, life-saving treatment or surgery can proceed without consent under the doctrine of implied consent.
b. Delaying the surgery until informed consent can be obtained may jeopardize the client's health if immediate surgery is necessary.
c. Consent from a facility administrator is not required; the healthcare team can act under implied consent in emergencies.
d. Asking the anesthesiologist to sign the consent is not appropriate; consent should ideally be obtained from the client or a legally authorized representative.
Correct Answer is D
Explanation
a. Involving the client's partner may help with communication but may not ensure accurate translation or interpretation of complex medical information.
b. While incorporating gestures and hand signals can aid communication, they may not be sufficient for conveying complex medical information accurately.
c. Validating understanding by interpreting the client's body language can be helpful, but it may not provide enough information for effective teaching or obtaining informed consent.
d. Providing an interpreter ensures accurate communication of medical information and promotes the client's understanding and participation in decision-making. It is essential for ensuring effective communication and obtaining valid consent in situations where language barriers exist.
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