The RN charge nurse is assigning duties on a postpartum unit with two registered nurses (RNs), two licensed practical nurses (LPNs), and two unlicensed assistive personnel (UAPs). Which task or assignment is most appropriate?
Ask the LPN to administer ibuprofen to the client experiencing afterbirth pains.
Instruct the UAP to evaluate the mother and infant's bonding.
Tell the RN to change the sharps container in the medication room.
Request the LPN to care for the client who is 6 hours postpartum, who had eclampsia.
The Correct Answer is A
Rationale:
A. Administering oral medications such as ibuprofen is within the LPN’s scope of practice. It is a routine, stable task for a postpartum client and does not require complex assessment or independent nursing judgment. Delegating this task to the LPN is appropriate and safe.
B. Assessing or evaluating maternal-infant bonding requires professional nursing judgment. UAPs can assist with feeding support or routine observation but cannot perform assessments that involve interpretation or clinical decision-making.
C. Changing sharps containers is a non-nursing task and does not require the RN’s clinical expertise. Assigning RNs to such tasks is an inefficient use of their skills.
D. A client with a history of eclampsia is high-risk and requires ongoing assessment for complications such as hypertension, seizures, and hemorrhage. Care for high-acuity or unstable clients falls within the RN’s scope, not the LPN’s. Assigning this client to an LPN is unsafe.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. This approach is punitive and does not address the client’s underlying concern, which is a lack of trust. Confronting the client in this manner may escalate anxiety and further damage the nurse-client relationship.
B. This action reflects a collaborative and client-centered leadership approach. It actively involves the client in decision-making, validates their concerns, and promotes trust and transparency. By facilitating communication between the client and the healthcare team, the nurse supports informed consent and strengthens the therapeutic relationship.
C. Transferring the client does not resolve the underlying issue of mistrust with the healthcare team and may be disruptive or seen as avoidance rather than problem-solving.
D. While continuity of care is important, simply changing the nurse may not address the client’s lack of trust in the broader healthcare team or the specific concerns causing treatment refusal.
Correct Answer is {"A":{"answers":"E"},"B":{"answers":"D"},"C":{"answers":"C"},"D":{"answers":"B"},"E":{"answers":"A"}}
Explanation
Rationale:
- During recovery period: Refers to the timeframe over which the intervention is evaluated.
- Pain control: This is the desired outcome being measured.
- Compared to administration of ibuprofen: Identifies the comparison group or alternative treatment.
- Administration of acetaminophen: This is the intervention being studied.
- Children with strep throat: Defines the population being examined.
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