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

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A reason: While this statement addresses the concern, it might come across as accusatory and could put the staff nurse on the defensive. It is important to approach the situation with a focus on problem-solving rather than blame.

Choice B reason: This statement is more of a threat and may not foster a collaborative environment. It could lead to resistance rather than cooperation. The goal should be to discuss expectations and find a solution together.

Choice C reason: This statement is constructive and sets the stage for a productive conversation. It emphasizes the need to clarify unit expectations and provides an opportunity for the staff nurse to understand and meet these expectations. It focuses on the tasks and responsibilities rather than the individual's shortcomings.

Choice D reason: This statement is likely to be perceived as judgmental and may strain the working relationship. It is important to approach the situation with empathy and a focus on resolving the issue rather than criticizing the individual.

A. Client who had open reduction and internal fixation of a femur fracture 3 days ago B. Client admitted last night with community-acquired pneumonia C. Older adult client in the observation unit for evaluation of chest pain D. Client on the medical unit for wound care for a stage 2 wound to the lower extremity

Correct Answer is D

Explanation

Choice A reason: A client who had open reduction and internal fixation of a femur fracture 3 days ago is likely to need ongoing monitoring and care to ensure proper healing and prevent complications. Discharging this client could risk worsening their condition or causing new issues to arise.

Choice B reason: A client admitted last night with community-acquired pneumonia is still in the early stages of treatment and may require close observation and medication adjustments to effectively manage their condition and prevent deterioration.

Choice C reason: An older adult client in the observation unit for evaluation of chest pain may still be at risk for serious conditions such as a heart attack. Releasing this client without a definitive diagnosis or proper management plan could endanger their health.

Choice D reason: A client on the medical unit for wound care for a stage 2 wound to the lower extremity is generally considered stable and appropriate for discharge, provided they have the necessary support and resources to continue wound care at home. This client does not require intensive monitoring or treatment that would necessitate hospital admission.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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