Which of the following clients is most appropriate to delegate to the Licensed Practical/Vocational Nurse (LPN/LVN)?

The newly admitted client with an order for wet to dry dressing changes

The client ready for discharge who requires emptying of the JP drain

The client with a stage III pressure ulcer and orders for IV antibiotics

The client taking oral pain medication for abdominal surgery 2 days ago

Answer and Explanation

The Correct Answer is B

Choice A reason: A newly admitted client needing wet-to-dry dressing changes requires initial wound assessment and teaching, which are RN responsibilities. LPNs can perform dressings, but new admissions involve complex evaluations outside their scope, making this inappropriate for delegation.

Choice B reason: Emptying a JP drain for a discharge-ready client is a routine, stable task within an LPN’s scope. The patient’s condition is stable, and the procedure is straightforward, requiring no complex judgment, making this the most appropriate task to delegate to an LPN/LVN.

Choice C reason: A client with a stage III pressure ulcer and IV antibiotics requires advanced wound assessment and IV management, which are RN tasks. LPNs have limited scope for IV therapy and complex wounds, making this inappropriate for delegation.

Choice D reason: A client 2 days post-abdominal surgery on oral pain medication may need monitoring for complications, an RN responsibility. LPNs can assist, but potential instability makes this less suitable for delegation compared to the stable, routine task of emptying a JP drain.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A reason: A sore throat is common post-thyroidectomy due to intubation but is not life-threatening. Neck swelling may indicate a hematoma, a more urgent issue, making this less priority.

Choice B reason: Hoarseness may result from recurrent laryngeal nerve irritation, a concern, but is less immediate than swelling, which risks airway compromise. This makes hoarseness a secondary finding.

Choice C reason: Neck swelling is the priority, as it may indicate a hematoma or bleeding, potentially compressing the airway. This life-threatening complication requires immediate intervention, making it the correct choice.

Choice D reason: Mild incision pain is expected post-surgery and manageable with analgesics. Swelling poses a greater risk of airway obstruction, making pain a lower priority finding.

A. Apply a warm compress to the ankle B. Elevate the ankle above heart level C. Encourage weight-bearing exercises D. Wrap the ankle tightly with a bandage

Correct Answer is B

Explanation

Choice A reason: Applying a warm compress may increase swelling by promoting blood flow, which is contraindicated in acute sprains. Elevation reduces edema by gravity-assisted drainage, making warm compresses less appropriate for initial sprain management.

Choice B reason: Elevating the ankle above heart level is the most appropriate action, as it reduces swelling and redness by promoting venous and lymphatic drainage. This aligns with RICE (rest, ice, compression, elevation) protocol, making it the primary intervention for an acute sprain.

Choice C reason: Encouraging weight-bearing exercises is inappropriate for an acute sprain, as it may worsen injury and swelling. Rest and elevation are needed initially, with exercises introduced later in recovery, making this an incorrect action.

Choice D reason: Wrapping the ankle provides compression, which is helpful, but elevation more directly reduces swelling in the acute phase. Compression is a secondary RICE component, making elevation the priority for immediate swelling control in a sprain.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Which of the following clients is most appropriate to delegate to the Licensed Practical/Vocational Nurse (LPN/LVN)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is postoperative following a thyroidectomy. Which of the following findings should the nurse identify as priority?

Correct Answer is C

Explanation

The nurse is caring for a patient with swelling and redness following an ankle sprain. Which action by the nurse is most appropriate?

Correct Answer is B

Explanation

A postoperative patient complains of pain at the surgical site incision. Which of the following would be the priority action for the nurse?

The nurse is administering Ibuprofen (Advil) to an older patient. Which assessment data causes the nurse to hold the medication?

An 18-year-old male patient informs the nurse that he isn’t sure if he is homosexual because he is attracted to both genders. Which response by the nurse will help establish a trusting relationship?

Which of the following client statements would cause the nurse to further question the client?

The nurse is assessing a client who reports abdominal pain. Which of the following findings should the nurse identify as a possible indication of appendicitis?

A nurse is caring for a client who has a prescription for a low-potassium diet. Which of the following foods should be included in the diet plan?

Which of these enema orders would should the nurse question?

Which of the following tasks could the RN delegate to the unlicensed assistive personnel (UAP)?