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Which client would be best assigned to an RN and not an LPN?

A 78-year-old female with osteoporosis who needs assistance performing range of motion exercises and ambulating with a walker.

A 78-year-old patient newly admitted with anemia requiring a blood transfusion

A 34-year-old patient post knee arthroscopy who requires reinforced crutch walking

A 44-year-old patient admitted yesterday with pneumonia

Answer and Explanation

The Correct Answer is B

. A 78-year-old female with osteoporosis who needs assistance performing range of motion exercises and ambulating with a walker: LPNs are capable of assisting with range of motion exercises and ambulation.
B. A 78-year-old patient newly admitted with anemia requiring a blood transfusion: Blood transfusions require close monitoring for reactions and complications, which are within the RN’s scope of practice. This patient requires a higher level of assessment and decision-making skills.
C. A 34-year-old patient post knee arthroscopy who requires reinforced crutch walking: LPNs can assist with crutch walking education and reinforcement.
D. A 44-year-old patient admitted yesterday with pneumonia: LPNs can care for stable patients with pneumonia under the supervision of an RN. The patient's status should be stable or improved to be managed by an LPN.

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

A. The right task, the right circumstances, the right person, the right communication, and the right supervision: These are the five rights of delegation and supervision, ensuring tasks are appropriately assigned and monitored.
B. The right competency, the right staff person, the right scope of practice, the right environment, and the right client condition: These elements are important but do not represent the five rights of supervision.
C. The right competency, the right education, the right scope of practice, the right environment, and the right client condition: These are not the standard five rights of supervision.
D. The right task, the right circumstances, the right person, the right client condition, and the right supervision: This is close but not entirely accurate. The correct elements are task, circumstances, person, communication, and supervision.

A. Discuss the benefits of losing weight B. Encourage the client to share their feelings about dietary habits C. Review strategies for losing weight D. Create a diet for the client

Correct Answer is C

Explanation

A. Discuss the benefits of losing weight: This might involve informing the client (knowledge acquisition), but it doesn't necessarily involve a higher-level cognitive process.
B. Encourage the client to share their feelings about dietary habits: Sharing feelings involves the affective domain, which includes emotions and attitudes.
C. Review strategies for losing weight: By reviewing strategies for losing weight, the nurse is helping the client understand and apply information about healthy weight management techniques. This goes beyond memorization and encourages the client to think critically about their weight loss plan.
D. Create a diet for the client: Creating a diet for the client is more of an action plan and could involve multiple domains, but it primarily involves the psychomotor domain when it comes to implementation.

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Which client would be best assigned to an RN and not an LPN?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following are the five rights of supervision?

Correct Answer is A

Explanation

A nurse is teaching a client who wishes to lose weight. Which of the following teaching methods use the cognitive domain of learning?

Correct Answer is C

Explanation

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