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 B

Explanation

A: Reflects respiratory alkalosis (elevated pH, low PaCO2) — not expected in AKI.
B: The ABG values show metabolic acidosis (low pH and low bicarbonate), which is commonly seen in AKI due to the kidneys’ reduced ability to excrete acids and reabsorb bicarbonate. The low PaCO2 indicates a compensatory respiratory alkalosis where the lungs are trying to blow off CO2 to compensate for the acidosis.
C: Reflects metabolic alkalosis (high pH, high HCO3), which is opposite of what’s seen in AKI.
D: Indicates mixed acidosis or possible uncompensated respiratory acidosis, but the bicarbonate isn’t low enough to represent true metabolic acidosis seen in AKI.

A. blood presre at 0800 was 138/86 mm Hg and at 1200 is 106/60 mm Hg B. has a prescription for insulin and his premeal capillary blood glucose was 110 mg/dL and his post-meal capillary blood glucose is now 160 mg/dL C. wound drainage at 0800 was sanguineous and now it is serosanguineous D. reports pain as 4 on a scale of 1 to 10 at 0800 now reports pain as 6

Correct Answer is A

Explanation

A: A significant drop in blood pressure could indicate internal bleeding or fluid volume loss—potentially life-threatening.
B: Blood glucose levels of 110 pre-meal and 160 post-meal are normal ranges.
C: Sanguineous to serosanguineous drainage is an expected wound healing progression.
D: Pain increasing from 4 to 6 is important but not as critical as hypotension.

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

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Correct Answer is A

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