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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Decreased vision but the client is wearing glasses: As long as the client is wearing glasses and can see adequately, decreased vision is not a barrier to learning that would require postponing teaching.
B. Hearing loss, hearing aids are functioning well: With functioning hearing aids, the client should be able to hear and understand the discharge instructions, so this is not a barrier to learning that requires postponement.
C. Language and no access to an interpreter: Without an interpreter, the client may not understand the instructions, which is a significant barrier to learning. This requires postponing the teaching until an interpreter is available.
D. The client's culture: While cultural differences can influence learning, they do not inherently create a barrier that necessitates postponing teaching unless they directly affect comprehension or communication.
Correct Answer is C
Explanation
A. Secondary: Secondary prevention involves early detection and prompt intervention to prevent progression of disease.
B. Disease process: This term does not describe a level of prevention.
C. Tertiary: Tertiary prevention aims to reduce the impact of an ongoing illness or injury that has lasting effects. Rehabilitation after a stroke is an example of tertiary prevention.
D. Primary: Primary prevention aims to prevent disease or injury before it ever occurs.
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