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

Answer and Explanation

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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Correct Answer is D

Explanation

A: Continuing the medication dosages that relieve the client's pain may not be appropriate if the client is somnolent and difficult to arouse, as this indicates potential over-sedation or respiratory depression, which can be life-threatening.
B: Contacting the provider about replacing the opioid with an NSAID may not address the immediate concern of over-sedation and could result in inadequate pain control, as NSAIDs may not provide the same level of pain relief for terminal illness.
C: Administering the benzodiazepine but withholding the opioid may not be advisable because benzodiazepines can contribute to sedation. If the client is already somnolent, additional benzodiazepines could exacerbate the situation.
D: Withholding the benzodiazepine but continuing the opioid may be the best action because opioids are primarily for pain control, and by reducing the benzodiazepine, which contributes to sedation, the nurse may manage the client's pain while also addressing the over-sedation.

A. A primigravida client who is one day postoperative following a cesarean section and has a PCA pump B. A multigravida client who has preeclampsia and is receiving misoprostol for the induction of labor C. A client who has gestational diabetes and is receiving biweekly nonstress tests D. A client who is at 32 weeks gestation and has premature rupture of membranes

Correct Answer is A

Explanation

Rationale for A: A primigravida client who is one day postoperative following a cesarean section and has a PCA pump is the most suitable choice. This client's condition is stable, postoperative care is a common skill among medical-surgical nurses, and managing a PCA pump does not require specialized obstetrical knowledge.
Rationale for B: A multigravida client with preeclampsia receiving misoprostol for labor induction requires close monitoring for complications such as eclampsia and labor progression, which necessitates specialized obstetrical knowledge that a medical-surgical nurse may not possess.
Rationale for C: A client with gestational diabetes receiving biweekly nonstress tests would require knowledge of interpreting nonstress test results and understanding the implications of gestational diabetes on pregnancy, which are specific to obstetrical care.
Rationale for D: A client at 32 weeks gestation with premature rupture of membranes is at high risk for complications such as infection or preterm labor, requiring specialized obstetrical skills for assessment and intervention.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A hospice nurse is caring for a client who has terminal illness and reports severe pain. After the nurse administers the prescribed opioid and benzodiazepine, the client becomes somnolent and difficult to arouse. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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