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 B
Explanation
A. Speak loudly and use simple words: Speaking loudly may be perceived as shouting and can increase agitation. Using simple words is appropriate, but volume should be normal and calm.
B. Address the client by name and reorient client: Addressing the client by name and reorienting him is effective because it respects his dignity and helps him understand his current situation, reducing confusion and agitation. This approach is clear, respectful, and supportive.
C. Challenge the client to refocus his attention when he becomes agitated: Challenging the client can be confrontational and may escalate agitation. It is better to use a calm, reassuring approach.
D. Ask the client a series of questions without allowing time for the client to answer: This can overwhelm and frustrate the client, leading to increased agitation.
Correct Answer is D
Explanation
A. Coercive power over other team members improves client outcomes: Coercive power is not conducive to a collaborative environment and can negatively impact team dynamics and patient care.
B. Lack of training facilitates participation with other team members: Lack of training hinders effective collaboration and can lead to misunderstandings and errors in patient care.
C. Confrontation encourages interaction with other team members: Confrontation can create conflict and is not a constructive approach to collaboration.
D. Communication with other team members improves client outcomes: Effective communication is crucial for successful interprofessional collaboration, leading to improved patient outcomes.
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