When working in the urology/nephrology clinic, which patient's care could the nurse delegate to an experienced licensed practical/vocational nurse (LPN/VN)?
Patient who requires teaching about possible post-cystoscopy complications
Patient who is scheduled for a renal biopsy after a recent kidney transplant.
Patient who will need monitoring for several hours after a renal arterogram
Patient who will have catheterization to check for residual urine after voiding
The Correct Answer is D
A. Patient who requires teaching about possible post-cystoscopy complications: Teaching requires assessment and specialized knowledge, which are within the registered nurse’s scope of practice. The LPN/VN can reinforce teaching but cannot take primary responsibility for initial patient education.
B. Patient who is scheduled for a renal biopsy after a recent kidney transplant: This patient is at high risk for complications such as bleeding and graft rejection, requiring close monitoring and advanced clinical judgment. Care for this patient should remain with the registered nurse.
C. Patient who will need monitoring for several hours after a renal arterogram: Post-arterogram monitoring involves assessing for bleeding, circulation changes, and possible contrast-related complications. These tasks require frequent assessment and higher-level clinical decision-making by the RN.
D. Patient who will have catheterization to check for residual urine after voiding: This is a stable patient requiring a routine procedure within the scope of practice for an experienced LPN/VN. Catheterization is a skill LPNs are trained to perform safely under the RN’s supervision, making this the appropriate delegation choice.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"A"}}
Explanation
Swelling in the lower extremities suggests fluid overload or inadequate fluid removal during hemodialysis. This indicates that the treatment may not be fully effective in achieving fluid balance, making it a complication rather than a normal post-dialysis finding.
Fatigue is a common and expected symptom after hemodialysis due to fluid and electrolyte shifts, temporary hypotension, and the overall physical stress of the treatment. Clients often report tiredness following sessions, making this a normal symptom.
Improvement in dizziness is consistent with the correction of intradialytic hypotension or fluid imbalances. As the dialysis session progresses and the body stabilizes, clients may feel better, making this a normal recovery symptom rather than a complication.
Difficulty maintaining balance may result from lingering hypotension, electrolyte disturbances, or weakness associated with uremia and dialysis. While mild weakness is expected, balance difficulties can increase fall risk and are best classified as a complication requiring close monitoring.
Correct Answer is B
Explanation
A. COPD: Chronic obstructive pulmonary disease primarily affects the respiratory system and does not directly increase the risk for urinary tract infections. While overall health may be compromised, COPD is not a major UTI risk factor.
B. Diabetes mellitus: Diabetes mellitus increases susceptibility to UTIs due to factors such as impaired immune response, glycosuria that promotes bacterial growth, and potential neurogenic bladder. High blood glucose levels create an environment favorable for infection.
C. Anemia: Anemia reflects a decreased red blood cell count or hemoglobin but does not directly contribute to urinary tract infection risk. It may indicate chronic illness but is not a primary factor for UTI development.
D. Osteoporosis: Osteoporosis affects bone density and structural integrity but does not influence urinary tract infection risk. It is unrelated to bladder function or bacterial susceptibility.
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