The nursing process guides nurses in delivery of care and includes sequential steps. Which step does the registered nurse (RN) perform within the nursing process that is not part of the standard of practice for the licensed practical nurse (LPN)?
Evaluation
Analysis
Implementation
Planning
The Correct Answer is B
A. Evaluation:
Both RNs and LPNs engage in the evaluation step of the nursing process. It involves assessing the effectiveness of the care plan and determining whether the desired outcomes have been achieved.
B. Analysis:
The analysis step involves a deeper level of critical thinking and problem-solving. It often includes a more comprehensive examination and interpretation of assessment data to develop the nursing diagnosis, a step that typically falls within the scope of practice for RNs.
C. Implementation:
Both RNs and LPNs are involved in implementing the care plan, which includes carrying out nursing interventions according to the established plan of care.
D. Planning:
Both RNs and LPNs participate in the planning phase, which involves setting goals, establishing priorities, and creating a care plan tailored to the patient's needs.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. 74-year-old female with malnutrition and a foley catheter in place:
Malnutrition can weaken the immune system, making the individual more susceptible to infections. Additionally, the presence of a foley catheter increases the risk of urinary tract infections.
B. 54-year-old female admitted for chest pain observation:
Chest pain observation does not inherently increase the risk of infection.
C. 34-year-old male admitted for seizure observation:
Seizure observation does not inherently increase the risk of infection.
D. 78-year-old male with right-sided hemiplegia following a stroke:
While the hemiplegia following a stroke may pose mobility challenges, the presence of malnutrition and a foley catheter in option A puts the patient at a higher risk for infection.
Correct Answer is A
Explanation
A. Tie it to the bed frame with a quick release knot.This option is correct because securing the restraint to the bed frame ensures that the client cannot easily remove it, while a quick release knot allows for rapid removal in case of an emergency.
B. Strap the restraint with a square knot to the head of the bed.While a square knot may be secure, it is not considered a quick-release method, which is essential for the safety of the client.
C. Use a quick release knot to tie the restraint to the side rail.Tying a restraint to the side rail can pose a risk because if the side rail is lowered, it may create a situation where the restraint is loose or ineffective. It is safer to secure it to the bed frame instead.
D. Assist with range of motion at least every 3 hours.While providing range of motion is important to prevent complications from immobility, it does not address how to secure the restraint itself. Regular assessments and range of motion exercises should be part of the overall care plan but are not directly related to securing the restraint.
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