A nurse on a medical-surgical unit is caring for a group of clients with the assistance of a licensed practicing nurse 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 sterile urine specimen from an older adult client

Providing postmortem care for a client that just died

Reinforcing dietary teaching with a client who has heart disease

Answer and Explanation

The Correct Answer is D

a. Accompanying a client who just had a wound debridement to physical therapy - LPNs can assist with client mobility and transportation, but wound debridement is a procedure that typically requires RN-level assessment and monitoring.

b. Obtaining a urine specimen from an older adult client - This role is more appropriate for the assstive personnel

c. Providing postmortem care for a client that just died - This task involves emotional support, dignity, and respect for the deceased, as well as proper documentation. It's within the RN scope of practice due to its complexity and emotional sensitivity.

d. Reinforcing dietary teaching with a client who has heart disease - LPNs can reinforce teaching once the initial teaching has been done by the RN, and dietary education for clients with heart disease often involves routine guidelines and doesn't necessarily require the comprehensive assessment and education provided by an RN. Therefore, this task is appropriate for the LPN.

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Correct Answer is A

Explanation

a. Cutaneous anthrax is typically treated with antibiotics, so preparing to administer antibiotics to the client is the appropriate action.
b. While respiratory protection may be necessary in certain situations, such as when dealing with airborne pathogens, anthrax exposure typically does not require an N95 respirator mask.
c. Anthrax is caused by a bacterium, not a virus, so administering an antiviral medication would not be effective in treating the infection.
d. Placing a surgical mask on the client during transfer may not be necessary unless there are specific concerns about the spread of respiratory droplets. However, the primary treatment for cutaneous anthrax is antibiotics, not respiratory precautions.

A. “You should contact the provider about your wishes for your family member” B. “You should speak with the facility’s ethics committee about your concerns C. “We’ll need to have the nursing supervisor review the client’s advance directives” D. “As the health care surrogate, the client’s partner can make this decision

Correct Answer is D

Explanation

a. “You should contact the provider about your wishes for your family member”: While involving the provider is essential, it doesn’t directly address the conflicting wishes between the partner and the family member.
b. “You should speak with the facility’s ethics committee about your concerns”: While acknowledging the need for ethical guidance, this option may not be the most immediate step.
c. “We’ll need to have the nursing supervisor review the client’s advance directives”: Although reviewing advance directives is crucial, it doesn’t directly address the current disagreement.
d. “As the health care surrogate, the client’s partner can make this decision”: This response recognizes the legal authority of the health care surrogate (partner) to make decisions on behalf of the unconscious client. It aligns with established principles.

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A nurse on a medical-surgical unit is caring for a group of clients with the assistance of a licensed practicing nurse and assistive personnel. Which of the following tasks should the nurse assign to the LPN?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in the emergency department admits a client who has been exposed to cutaneous anthrax. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

Correct Answer is D

Explanation

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