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
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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Urgent procedures are needed soon (e.g., within hours), like appendicitis, but not immediately. Hemorrhaging requires instant action to prevent life-threatening blood loss, making this classification less appropriate than emergency.
Choice B reason: Major refers to procedure complexity, not timing. Hemorrhaging demands immediate intervention regardless of complexity, as bleeding threatens life, making major an incorrect classification for the procedure’s urgency.
Choice C reason: Emergency procedures are required immediately to save life, as with active hemorrhaging. Rapid blood loss risks hypovolemic shock, necessitating urgent surgical return, correctly classifying this as an emergency procedure.
Choice D reason: Elective procedures are planned and non-urgent, like cosmetic surgery. Hemorrhaging is life-threatening, requiring immediate intervention, not a scheduled event, making elective an incorrect classification.
Correct Answer is ["B","C","E"]
Explanation
Choice A reason: Recapping needles increases needlestick risk, as it involves handling the sharp end. Safety devices and immediate disposal are preferred, making recapping an incorrect and unsafe practice.
Choice B reason: Needleless systems eliminate sharp exposure, significantly reducing needlestick injuries. Using these systems when available is a standard safety measure, making it a correct intervention.
Choice C reason: Disposing of needles in a sharps container prevents accidental sticks by ensuring safe, immediate containment. This is a critical safety practice, making it a correct intervention for prevention.
Choice D reason: The one-handed scoop technique for recapping is discouraged, as any recapping increases injury risk. Avoiding recapping altogether is safer, making this an incorrect intervention.
Choice E reason: Participating in needlestick prevention training educates staff on safe practices, reducing injury risk. Knowledge of protocols enhances compliance, making this a correct intervention for workplace safety.
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