The RN and LPN are caring for a client diagnosed with a stroke. Which intervention should the nurse assign to the LPN?

Teach the client to turn the head and tuck the chin to swallow

Feed the client who is being allowed to eat for the first time

Assess the client's neurologic status and limb movement

Administer the client's anticoagulant subcutaneously

Answer and Explanation

The Correct Answer is D

A: Teaching about swallowing techniques requires the RN's assessment and involvement, as it involves complex decision-making related to the client’s safety.
B: Feeding a client for the first time after a stroke requires skilled assessment of swallowing abilities, which is an RN responsibility.
C: Neurologic assessment, including evaluating limb movement, requires the RN’s expertise in monitoring stroke recovery.
D: Administering subcutaneous anticoagulants is within the LPN’s scope of practice once the appropriate assessment is completed by the RN.

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Correct Answer is D

Explanation

A: Painful sunburn is uncomfortable but not urgent.
B: Toddler with laceration and screaming may be distressing, but not life-threatening.
C: Belligerence and slurred speech may suggest intoxication or neurological concern, but not as emergent as potential cardiac ischemia.
D: This client could be experiencing a myocardial infarction (MI), which often presents as epigastric pain and diaphoresis in men. It is a life-threatening emergency.

A. A 50-year-old diabetic patient with a blood sugar level of 150 mg/dL. B. A 45-year-old patient recovering from an appendectomy with a pain level of 4 out of 10. C. A 70-year-old patient scheduled for a routine hip replacement surgery tomorrow. D. A 65-year-old patient with a history of chronic obstructive pulmonary disease (COPD) reporting mild shortness of breath.

Correct Answer is D

Explanation

A: Blood glucose of 150 mg/dL in a diabetic patient is stable.
B: A post-op pain level of 4/10 is manageable.
C: A client scheduled for surgery tomorrow is stable and non-urgent.
D: Mild shortness of breath in a COPD client can rapidly worsen. This is a potential airway/breathing issue, which is a top priority.

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