A nurse on a medical surgical unit is caring for a group of clients with the assistance of a licensed practical nurse (LPN) and an assistive personnel. Which of the following tasks should the nurse assign to the LPN?
Reinforcing dietary teaching with a client who has heart disease
Providing postmortem care for a client who has just died
Accompanying a client who just had a wound debridement to physical therapy
Obtaining a urine specimen from an older adult client
The Correct Answer is A
A. Reinforcing dietary teaching with a client who has heart disease: This task is within the scope of the LPN
B. Providing postmortem care for a client who has just died: Postmortem care involves emotional and physical aspects that are typically performed by registered nurses.
C. Accompanying a client who just had a wound debridement to physical therapy: This task may require assessment and coordination of care, which are typically performed by registered nurses.
D. This task can be done by a UAP
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Related Questions
Correct Answer is C
Explanation
A. An adolescent who refuses to speak to their parents may be experiencing emotional distress, but this behavior does not necessarily require immediate intervention by the nurse.
B. A toddler who cries in the presence of their parent is displaying separation anxiety, which is a common reaction in young children and does not typically require intervention by the nurse unless it persists or escalates.
C. A preschooler who was previously toilet trained and now requires diapers may indicate regression, which could be a sign of emotional distress or physical illness and warrants further assessment and intervention by the nurse.
D. A school-age child with abrasions on their lower legs may require wound care and assessment, but this does not indicate an immediate need for intervention by the nurse unless there are signs of infection or other complications.
Correct Answer is D
Explanation
A. Do-not-resuscitate status: While important for the client's ongoing care, the do-not-resuscitate status may not be relevant to include in the discharge documentation unless it has changed during the course of the client's hospitalization.
B. Acuity level of client care: While relevant for internal communication among healthcare providers, the acuity level of client care may not be necessary to include in the discharge documentation for the receiving healthcare team.
C. Laboratory test results: While relevant for the client's medical history and ongoing care, specific laboratory test results may not always be necessary to include in the discharge documentation unless they are critical for the client's follow-up care.
D. Reconciled medications: This is the correct answer. Reconciled medications, including a list of medications the client was taking before admission, medications administered during the hospital stay, and any changes made to the medication regimen, are essential for ensuring continuity of care and safe medication management after discharge.
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