Which intervention is within the scope of practice for a practical nurse (PN)?
Demonstrating deep breathing and coughing to a postoperative client.
Discharge teaching about newly prescribed medications
Teaching the use of a glucometer to a newly diagnosed diabetic client
Presenting support options that are available to those with cancer.
The Correct Answer is A
A. Demonstrating deep breathing and coughing to a postoperative client: PNs can teach and demonstrate basic post-surgical exercises such as deep breathing and coughing to prevent complications like atelectasis.
B. Discharge teaching about newly prescribed medications: Comprehensive medication teaching, is generally the responsibility of the registered nurse (RN) or healthcare provider, as it requires assessment, individualized planning, and evaluation of understanding.
C. Teaching the use of a glucometer to a newly diagnosed diabetic client: Teaching a client to independently manage diabetes, including glucometer use, is considered RN-level education because it involves disease management, monitoring, and individualized teaching plans.
D. Presenting support options that are available to those with cancer: While PNs can provide general emotional support, detailed counseling or education about cancer support resources is considered RN or social work responsibilities, as it requires specialized knowledge.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Clean the ampule with an alcohol swab: Ampules should be cleaned before opening, but this step occurs before drawing up the medication. After using a filter needle, cleaning the ampule again is unnecessary at this stage.
B. Change the needle on the syringe: A filter needle is used to prevent glass particles from entering the syringe but is not intended for injection. The PN should replace it with a sterile, appropriate-gauge needle before administering the intramuscular injection to the client.
C. Discard the medication because it is contaminated: The medication is not considered contaminated simply because a filter needle was used. Discarding it is unnecessary if proper technique has been followed.
D. Administer the intramuscular injection to the client: Administering with the filter needle is unsafe because it is not designed for injection. Changing to an appropriate needle is required before giving the injection.
Correct Answer is C
Explanation
A. Apply warm cloths to the skin: Warm cloths may provide general comfort, but they do not address dehydration-related discomfort or dryness of mucous membranes.
B. Administer an as needed (PRN) analgesic: Analgesics relieve pain, but dehydration primarily causes dryness and discomfort rather than pain, so this does not directly improve comfort in this scenario.
C. Provide oral care frequently: Frequent oral care, including moistening the mouth and lips, alleviates discomfort from dry mucous membranes, improves comfort, and helps maintain oral hygiene when the client is unable to swallow.
D. Elevate the extremities: Elevating extremities is used for edema or circulation issues and does not address dehydration or the associated oral discomfort.
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