The nurse and licensed practical nurse (LPN) are caring for a group of clients on a medical-surgical unit. The following tasks have been ordered on their clients. Which task would be most appropriate to assign to the LPN?

Administer a tap water enema to a client who is constipated.

Assess a new admission client who just transferred to the unit.

Evaluate a client reporting new onset chest pain.

Administer Morphine 1 mg IV push to a client for pain.

Answer and Explanation

The Correct Answer is A

Choice A reason: Administering a tap water enema is within the scope of practice for an LPN. This task is a routine procedure that does not require the clinical judgment of a registered nurse (RN). The LPN can safely perform this task under the supervision of the RN.

Choice B reason: Assessing a new admission client is a comprehensive process that involves obtaining a detailed medical history, performing a thorough physical assessment, and developing an initial plan of care. This task requires the clinical judgment and decision-making skills of an RN, making it inappropriate to delegate to an LPN.

Choice C reason: Evaluating a client with new onset chest pain is a critical task that requires immediate attention and advanced assessment skills. It involves determining the cause of the chest pain, assessing the severity, and initiating appropriate interventions. This task must be performed by an RN due to the potential for serious underlying conditions such as myocardial infarction.

Choice D reason: Administering Morphine IV push requires specific knowledge about the medication, potential side effects, and monitoring for adverse reactions. This task involves clinical judgment and decision-making, making it inappropriate to delegate to an LPN. The RN is responsible for administering medications that require close monitoring and assessment.

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Correct Answer is D

Explanation

Choice A reason: Incident reports are internal documents used within the hospital to record and analyze adverse events. They are not intended for direct reporting to state, local, and federal agencies, which have their own reporting mechanisms.

Choice B reason: While incident reports may indirectly contribute to assessing the effectiveness of interventions, their primary purpose is not to determine outcomes. Instead, they focus on documenting and analyzing incidents to prevent future occurrences.

Choice C reason: Providing necessary treatment to clients is the immediate response to an incident. However, the purpose of the incident report is broader—it aims to capture the details of the event for analysis and future prevention, not directly to ensure treatment.

Choice D reason: The primary purpose of an incident report is to help the institution identify risk situations and improve client care. By systematically documenting incidents, the hospital can analyze patterns, identify areas for improvement, and implement strategies to enhance safety and quality of care.

A. Black B. Green C. Red D. Yellow

Correct Answer is C

Explanation

Choice A reason: The black category in the START triage system is for clients who are deceased or have injuries so severe that they are not expected to survive even with immediate medical intervention. This client is not in that category since they are conscious and breathing.

Choice B reason: The green category is for clients who are ambulatory with minor injuries and do not require urgent medical attention. This client is experiencing significant respiratory distress, which categorizes them as more urgent.

Choice C reason: The red category is for clients who need immediate life-saving intervention. This client's respiratory rate of 36 and shortness of breath indicate a severe respiratory distress that requires urgent medical attention.

Choice D reason: The yellow category is for clients who are unable to walk but have stable conditions that do not require immediate life-saving intervention. This client's condition is more severe and needs prompt intervention.

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The nurse and licensed practical nurse (LPN) are caring for a group of clients on a medical-surgical unit. The following tasks have been ordered on their clients. Which task would be most appropriate to assign to the LPN?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse working on a medical-surgical unit finds a client lying on their bathroom floor. After assessing the client and notifying the provider and nursing supervisor, the nurse completes a hospital incident report. What is the purpose of completing the hospital incident report?

Correct Answer is D

Explanation

Correct Answer is C

Explanation

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