The nurse is preparing the client assignments for the day to a licensed practical nurse (LPN) and an unlicensed assistive personnel (UAP). Which client should the nurse assign to the LPN? (Select all that apply)

A client requiring reinforcement of teaching about a diabetic diet

A client requiring routine dressing changes

A client requiring intravenous medication administration

A client requiring a bath

A client who requires ambulation assistance

Answer and Explanation

Correct Answer : A,B,C

Choice A reason: LPNs can reinforce teaching that has already been provided by an RN. They can help clarify and reinforce the diabetic diet plan to the client.

Choice B reason: Routine dressing changes are within the scope of practice for LPNs. They can provide this care effectively.

Choice C reason: LPNs are qualified to administer intravenous medications. This is within their scope of practice and ensures that clients receive their medications timely.

Choice D reason: Providing a bath is typically assigned to UAPs. This task does not require the clinical judgment and skills of an LPN.

Choice E reason: Assisting with ambulation is typically assigned to UAPs. This task does not require the clinical judgment and skills of an LPN.

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Correct Answer is A

Explanation

Choice A reason: Older adults commonly experience a decline in short-term memory as part of the normal aging process. This can make it more difficult to recall recent events or information.

Choice B reason: Older adults typically have decreased, not increased, reflexes due to changes in the nervous system.

Choice C reason: Older adults often experience a decline in fine motor movement, rather than an increase. Age-related changes can affect dexterity and coordination.

Choice D reason: Long-term memory is generally preserved longer in older adults compared to short-term memory. Older adults are more likely to have difficulties with recent memories.

A. Polyuria, nausea, headaches B. Polydipsia, translucent skin, obesity C. Profuse sweating, flushing, constipation D. High fever, severe tachycardia, and hypertension

Correct Answer is D

Explanation

Choice A reason: Polyuria, nausea, and headaches are not specific clinical manifestations of thyroid storm. Thyroid storm is characterized by extreme hyperthyroidism, leading to severe symptoms such as high fever and tachycardia. Polyuria and nausea could occur in various conditions but are not hallmark signs of a thyroid storm.

Choice B reason: Polydipsia, translucent skin, and obesity are not typical manifestations of thyroid storm. These symptoms are more associated with other conditions, such as diabetes (polydipsia) and metabolic disorders (obesity). Thyroid storm involves acute and severe symptoms related to excessive thyroid hormone levels.

Choice C reason: Profuse sweating and flushing can occur in thyroid storm, but constipation is not typically observed. In fact, hyperthyroidism generally increases gastrointestinal motility, leading to diarrhea rather than constipation. Thyroid storm involves symptoms reflecting severe metabolic overactivity.

Choice D reason: High fever, severe tachycardia, and hypertension are classic clinical manifestations of thyroid storm. The condition involves a rapid and life-threatening escalation of hyperthyroid symptoms, requiring immediate medical attention to prevent complications.

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The nurse is preparing the client assignments for the day to a licensed practical nurse (LPN) and an unlicensed assistive personnel (UAP). Which client should the nurse assign to the LPN? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is performing a neurological assessment on the older adult. An expected finding is that:

Correct Answer is A

Explanation

The nurse in the medical ICU suspects that the client is experiencing a thyroid storm. Which clinical manifestations should the nurse anticipate?

Correct Answer is D

Explanation

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