An experienced charge nurse is providing mentoring to a new charge nurse. The new charge nurse is making the shift assignment for a licensed practical nurse (LPN). Which assignment requires intervention by the experienced nurse?
Providing nasopharyngeal suctioning for a client with pneumonia
Assisting a client who is 24 hours post-operative to use an incentive spirometer
Teaching a new client who has asthma to use a metered-dose inhaler
Collecting a clean catch urine from an ambulatory client with a wound
The Correct Answer is C
Choice A reason: Providing nasopharyngeal suctioning for a client with pneumonia is within the scope of practice for an LPN. This task involves performing a procedure to clear the airway, which is a common responsibility for LPNs.
Choice B reason: Assisting a client who is 24 hours post-operative to use an incentive spirometer is appropriate for an LPN. This task involves helping a client with breathing exercises to prevent post-operative complications, which is a standard part of post-operative care.
Choice C reason: Teaching a new client who has asthma to use a metered-dose inhaler requires educational and assessment skills that typically fall within the scope of practice for a registered nurse (RN). While LPNs can reinforce education, the initial teaching and assessment of a client's understanding should be done by an RN.
Choice D reason: Collecting a clean catch urine from an ambulatory client with a wound is within the scope of practice for an LPN. This task involves obtaining a urine sample, which is a routine procedure that LPNs are trained to perform.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Arranging for the client to remain on bedrest may not address the underlying reasons for the client's upset and agitation. While physical rest can be beneficial, it is more important to address the client's emotional and psychological needs through communication and support.
Choice B reason: Telling the client to remain calm can be perceived as dismissive and may not effectively alleviate their distress. It is important for the nurse to acknowledge the client's feelings and provide a supportive environment for them to express themselves.
Choice C reason: Encouraging the client to share their feelings is the best action to assist the client. By providing a supportive and empathetic environment, the nurse can help the client express their emotions, identify the cause of their distress, and work together to find appropriate solutions. This approach promotes therapeutic communication and can lead to a more accurate assessment and effective care plan.
Choice D reason: Giving the client time to rest and returning later for the assessment may delay addressing the client's immediate emotional needs. It is important for the nurse to engage with the client promptly to understand their concerns and provide support.
Correct Answer is D
Explanation
Choice A reason: Slander refers to spoken defamation of a person's character. Since this situation does not involve any spoken statements that defame the client, slander is not applicable.
Choice B reason: Malpractice is a specific type of negligence that occurs when a healthcare professional fails to perform their duties to the required standard, resulting in harm to a patient. While closely related, in this scenario, the broader term negligence more accurately describes the failure to follow hospital policy.
Choice C reason: Battery involves intentional and wrongful physical contact with a person without their consent, causing harm. In this situation, the nurse's failure to prevent the fall is not an intentional act, so battery is not applicable.
Choice D reason: Negligence occurs when someone fails to take reasonable care to avoid causing injury or loss to another person. In this case, the nurse's failure to initiate fall risk prevention measures, as required by hospital policy, resulted in the client falling and sustaining a wrist fracture, making the nurse at risk for negligence.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.