A registered nurse assigns the task of tracheostomy suctioning of a client to the Licensed Practical Nurse (LPN). The LPN informs the nurse that the LPN has never performed this procedure on a client. Which of the following is the most appropriate response from the registered nurse?

You are through with your theory class, so you should know.

Ask for help from a nurse who knows how to perform the procedure.

Review the procedure in the manual and act accordingly.

I will assist you in performing the procedure on the client.

Answer and Explanation

The Correct Answer is D

Choice A reason: Assuming the LPN should know tracheostomy suctioning from theory dismisses the need for practical experience. Performing procedures safely requires supervised practice, as inexperience risks airway trauma or infection. This response neglects patient safety and professional mentorship, per nursing delegation standards.

Choice B reason: Asking another nurse for help is insufficient, as it does not ensure proper supervision or competency. The RN is responsible for ensuring the LPN’s ability to perform safely. This approach risks inconsistent training and patient harm, lacking structured guidance, per delegation and patient safety protocols.

Choice C reason: Reviewing the manual alone is inadequate for a hands-on procedure like tracheostomy suctioning, which requires supervised practice to ensure competence. Inexperience may lead to errors, such as hypoxia or infection. This response fails to provide direct oversight, per nursing competency and patient safety guidelines.

Choice D reason: Assisting the LPN in performing tracheostomy suctioning ensures patient safety and builds competency. The RN provides direct supervision, preventing errors like airway obstruction or infection, while mentoring the LPN. This aligns with delegation principles, ensuring effective care and professional development, per nursing practice standards.

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Correct Answer is B

Explanation

Choice A reason: Onion powder is a spice, not a fat, and contains negligible lipids or calories. It does not influence cholesterol metabolism, blood pressure, or insulin sensitivity, which are critical in managing hyperlipidemia, hypertension, and Type I diabetes. These conditions increase atherosclerosis risk via elevated LDL cholesterol, but onion powder has no role in lipid metabolism or cardiovascular health, making it irrelevant.

Choice B reason: Saturated fats, found in animal products and some plant oils, increase LDL cholesterol by enhancing hepatic production of very-low-density lipoprotein (VLDL). In patients with hypertension and Type I diabetes, this exacerbates atherosclerosis, raising cardiovascular risk. Limiting saturated fats reduces LDL levels, improves endothelial function, and supports glycemic control, aligning with dietary guidelines for these chronic conditions.

Choice C reason: Pepper is a spice with no significant fat content or impact on lipid metabolism. It does not contribute to cholesterol levels, blood pressure, or insulin resistance, which are concerns in hyperlipidemia, hypertension, and Type I diabetes. These conditions require limiting fats that elevate LDL, but pepper has no effect on lipid profiles or cardiovascular risk factors.

Choice D reason: Polyunsaturated fats, like omega-3 and omega-6 fatty acids, lower LDL cholesterol and reduce inflammation, benefiting cardiovascular health. In patients with hypertension and diabetes, these fats improve lipid profiles and endothelial function, reducing atherosclerosis risk. The dietician would encourage, not limit, polyunsaturated fats to support heart health and insulin sensitivity in managing these conditions.

A. Continuity of Care B. Accurate Evaluation of Care C. Appropriate changes in wound D. Closed drainage system

Correct Answer is ["A","B","C"]

Explanation

Choice A reason: Precise wound documentation ensures continuity of care by providing a detailed record of wound characteristics, treatments, and progress. This allows multiple providers to deliver consistent care, reducing errors and ensuring interventions align with the patient’s healing trajectory, per interdisciplinary care and documentation standards.

Choice B reason: Accurate evaluation of care relies on precise wound documentation, which tracks changes in size, depth, and healing status. This enables providers to assess treatment effectiveness, adjust plans, and prevent complications, ensuring evidence-based care delivery, per wound management and clinical evaluation protocols.

Choice C reason: Appropriate changes in wound care are guided by precise documentation, which identifies healing trends or deterioration. Detailed records inform timely modifications to dressings or therapies, optimizing outcomes and preventing infection or delayed healing, per wound care decision-making and clinical practice guidelines.

Choice D reason: A closed drainage system relates to wound management devices, not documentation. While documentation may note drainage system use, it does not directly contribute to its function. Precise documentation supports care planning, not mechanical systems, making this irrelevant to the question, per wound care technology.

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A registered nurse assigns the task of tracheostomy suctioning of a client to the Licensed Practical Nurse (LPN). The LPN informs the nurse that the LPN has never performed this procedure on a client. Which of the following is the most appropriate response from the registered nurse?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient with increased cholesterol, hypertension, and Type I Diabetes Mellitus. The dietician comes in with the nurse to discuss an appropriate diet with the patient. Which fats will the dietician most likely encourage the patient to limit?

Correct Answer is B

Explanation

Precise wound documentation contributes to which of the below elements? (Select all that apply)

Correct Answer is ["A","B","C"]

Explanation

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The nurse assesses a client’s eyes by testing the cardinal fields of vision for coordination and alignment. Which eye characteristic is being assessed by this process?

A registered nurse assigns the task of tracheostomy suctioning of a client to the Licensed Practical Nurse (LPN). The LPN informs the nurse that the LPN has never performed this procedure on a client. Which of the following is the most appropriate response from the registered nurse?

A patient has a hemoglobin of 7.1 g/dL. The nurse understands that anemia is likely to result in which of the following?

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