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

None

Answer and Explanation

The Correct Answer is D

A. Accompanying a client to physical therapy requires ongoing assessment of the client’s status and tolerance for activity, which is within the RN’s scope of practice.

B. Obtaining a urine specimen is a routine, stable task that can be performed by assistive personnel (UAP), not requiring LPN-level judgment.

C. Providing postmortem care is within the scope of practice of UAP, as it involves routine body care rather than clinical decision-making.

D. Reinforcing dietary teaching with a client who has heart disease is appropriate for an LPN because it involves reinforcing teaching that was already provided by the RN. LPNs can provide education on established care plans and reinforce instructions, making this task suitable for delegation.

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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.

A. Assault B. Libel C. Battery D. False imprisonment

Correct Answer is C

Explanation

a. Assault involves threatening or causing fear of harm to another person, which did not occur in this scenario.
b. Libel refers to making defamatory statements in written form, which is not relevant to the situation described.
c. Battery involves the unauthorized and intentional physical contact with another person, which includes administering medication against their will. Even if the nurse distracts the client to administer the injection, it is still considered battery because it violates the client's autonomy and right to refuse treatment.
d. False imprisonment involves unlawfully confining or restraining a person against their will, which also does not apply in this case.

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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

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Correct Answer is A

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Correct Answer is C

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