An LPN/LVN is supervising a UAP in a rehabilitation setting.
Two admissions arrive within close proximity. The LPN knows that which task is appropriate to delegate?
Assisting with ambulation.
Administering oral medications.
Creating a care plan.
Assessing the patient's pain level.
The Correct Answer is A
Choice A rationale
Assisting with ambulation is within the scope of practice for a UAP. This task involves helping patients move safely, providing physical support, and ensuring proper use of assistive devices. It is a fundamental activity of daily living that does not require the advanced clinical judgment or assessment skills of a licensed nurse.
Choice B rationale
Administering oral medications requires specific knowledge of drug classifications, dosages, potential side effects, and patient assessments, which falls outside the scope of practice for a UAPs. This task requires a licensed professional to ensure patient safety and proper medication management.
Choice C rationale
Creating a care plan involves comprehensive assessment, diagnosis, outcome identification, planning, and evaluation, all of which require the critical thinking and clinical judgment of a licensed nurse. This complex process is beyond the scope of a UAP, who primarily assists with implementing aspects of the care plan.
Choice D rationale
Assessing a patient's pain level involves evaluating subjective symptoms, understanding pain scales, and interpreting patient cues to inform the nursing care plan. This task requires clinical judgment and communication skills that are specific to the role of a licensed nurse, not a UAP. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
Choice A rationale
Fresh vegetables are generally healthy, but for cancer patients experiencing weight loss, their high water content and lower caloric density may not provide sufficient energy and nutrients to counteract cachexia effectively. The priority for these patients is often calorie and protein-dense options.
Choice B rationale
Peanut butter is an excellent source of concentrated calories, protein, and healthy fats, making it a highly beneficial food for individuals experiencing cancer-related weight loss. Its nutritional density helps to provide sustained energy and supports muscle mass preservation, combating cachexia effectively.
Choice C rationale
Whole milk is rich in calories, protein, and fat, providing a significant energy boost essential for combating weight loss in cancer patients. Its nutritional profile contributes to maintaining body weight and muscle mass, which are crucial for improving overall strength and treatment tolerance.
Choice D rationale
High-protein shakes are specifically formulated to deliver concentrated amounts of protein and calories, making them ideal for individuals with cancer-related weight loss. These supplements provide essential amino acids for tissue repair and maintenance, supporting nutritional status and preventing further muscle wasting.
Choice E rationale
While french fries are high in calories, they are typically low in essential nutrients and high in unhealthy fats. Their consumption may contribute to weight gain but often lacks the comprehensive nutritional profile required to support recovery and combat muscle wasting in cancer patients effectively.
Correct Answer is A
Explanation
Choice A rationale
Limiting cold and sun exposure is a correct understanding of skin care during external radiation therapy. Radiation causes direct cellular damage to basal epidermal cells, impairing skin barrier function and increasing sensitivity. Cold can cause vasoconstriction, reducing blood flow to compromised skin and hindering repair. Ultraviolet radiation from the sun further damages DNA, exacerbating inflammation and increasing the risk of erythema, hyperpigmentation, and long-term skin changes like telangiectasias.
Choice B rationale
Scrubbing the radiation markings while showering is an incorrect understanding and can harm the irradiated skin. Radiation causes desquamation, thinning, and increased fragility of the skin due to damage to keratinocytes and fibroblasts. Vigorous scrubbing can lead to further skin breakdown, irritation, and infection by disrupting the compromised epidermal barrier. Markings are essential for accurate daily treatment delivery and should be preserved.
Choice C rationale
Using any type of lotions, potions, or salves is an incorrect understanding of skin care during radiation therapy. Many commercial products contain irritants, alcohol, or fragrances that can exacerbate skin reactions like erythema, pruritus, and desquamation. Petroleum-based products can create a barrier that interferes with the radiation beam's effectiveness. Only physician-approved, non-irritating, water-soluble lotions should be used to soothe and hydrate the skin.
Choice D rationale
Removing any markings for radiation treatment is an incorrect understanding and can compromise the accuracy and effectiveness of radiation therapy. The markings, often temporary tattoos or indelible ink, are precisely placed by the radiation oncologist and dosimetrist to ensure that the radiation beam is accurately directed to the target tumor volume. Their removal would necessitate remarking, potentially leading to treatment delays or inaccuracies.
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