At the beginning of the shift, an RN is preparing assignments for a licensed practical nurse (LPN) and an assistive personnel (AP). Which of the following tasks should the nurse assign to the LPN?

Measuring a client's I & O

Providing postmortem care for a client

Obtaining a client's weight

Inserting a nasogastric tube for a client

Answer and Explanation

The Correct Answer is D

A.   The role of the AP includes tasks like recording the amount of fluids the client consumes and produces (urine, emesis, etc.), but it does not require specialized nursing knowledge.
B.   Postmortem care involves preparing the body after death for the family or transfer to the morgue. This task can be performed by an AP.
C.   While this task can be delegated to both LPNs and APs, it is often considered a basic task that can be assigned to the AP to free up the LPN for more complex patient care responsibilities.
D.   Inserting an NG tube is a skill that LPNs are trained to perform, and it is within their scope of practice in many states and healthcare settings, provided they have received the appropriate training and certification.

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Correct Answer is C

Explanation

A. An educator's primary role is to provide knowledge and teach others about health-related topics, procedures, or skills. While analyzing a clinical situation might involve sharing information or educating patients and colleagues, the core function of an educator is to impart knowledge rather than solely analyzing clinical situations.
B. A mentor provides guidance, support, and advice based on their experience and expertise. While mentors might analyze clinical situations as part of their role, their primary focus is on guiding and developing others rather than just analyzing situations.
C. A critical thinker evaluates and interprets information, assessing situations logically and systematically to make sound decisions. Critical thinking is fundamental to effective problem-solving and decision- making in nursing practice.
D. An advocate supports and speaks up for the rights and needs of patients, ensuring their preferences and best interests are considered in care decisions.

A. The client who is actively dying and requires IV pain medication B. The client who is 3 days postoperative and requires a dressing change C. The client who requires frequent ambulation D. The client who is in protective isolation

Correct Answer is A

Explanation

A. This client needs IV pain medication, which requires advanced skills and knowledge to manage and administer safely. This situation involves complex and sensitive care, including pain management and end-of-life issues. RNs are typically responsible for administering IV medications, especially in critical or end-of-life situations.
B. A client who is 3 days postoperative and needs a dressing change generally requires a level of care that may be suitable for LPNs. LPNs are trained to perform dressing changes and manage postoperative wounds. However, if there are complications or concerns about the wound or the client’s condition, the RN should oversee or handle the situation.
C. Frequent ambulation can be managed by assistive personnel (AP) under the supervision of the RN. This task typically involves supporting and assisting the client with walking, which is within the scope of AP duties. LPNs can also assist with ambulation, but it is generally a task appropriate for APs when performed as part of routine care.
D. A client in protective isolation requires careful attention to infection control practices to protect them from infections. While the RN is responsible for ensuring adherence to isolation protocols and assessing the client’s needs, the day-to-day care tasks might be managed by LPNs and APs, provided they are trained in infection control procedures.

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At the beginning of the shift, an RN is preparing assignments for a licensed practical nurse (LPN) and an assistive personnel (AP). Which of the following tasks should the nurse assign to the LPN?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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