Which of the following individuals should the LPN collaborate with to ensure best practices for the client? (Select all that apply)
The RN in charge of the client’s care and other interdisciplinary members involved in the client’s care
Other LPNs who have recently cared for the client
The client themselves
The client’s family members and significant other with patient’s permission
Correct Answer : A,C,D
Choice A reason: Collaboration with the RN and other interdisciplinary team members ensures that care is coordinated, evidence-based, and consistent with the overall plan of care. The RN has supervisory responsibility and often develops the care plan, while other team members (such as physical therapists, dietitians, or social workers) contribute specialized expertise. This collaboration ensures that the LPN’s interventions align with best practices and patient safety.
Choice B reason: While communication with other LPNs may provide continuity of care, it is not considered formal collaboration for best practices. Best practice collaboration requires interdisciplinary input and oversight from the RN or provider. Relying solely on other LPNs does not guarantee adherence to the care plan or evidence-based standards.
Choice C reason: Collaborating with the client themselves is essential because patient-centered care requires respecting autonomy, preferences, and goals. The client provides critical information about symptoms, comfort levels, and personal values, which guide individualized care. Involving the client ensures that interventions are not only clinically appropriate but also acceptable to the patient.
Choice D reason: Family members and significant others, with patient permission, are important collaborators because they provide emotional support, assist with care, and contribute knowledge about the patient’s history and preferences. Their involvement enhances adherence to care plans and ensures continuity after discharge. Collaboration with family also respects cultural and psychosocial needs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: “Rate plus 40” is not a valid method for determining systolic blood pressure. Blood pressure is measured using Korotkoff sounds, not arbitrary calculations.
Choice B reason: The systolic blood pressure is identified at the first Korotkoff sound, which represents the point at which blood begins to flow through the artery as the cuff pressure decreases. This is the correct clinical marker.
Choice C reason: The diastolic reading plus MAP is not a recognized method for determining systolic pressure. MAP is a separate calculation used to assess perfusion.
Choice D reason: The last Korotkoff sound represents diastolic pressure, not systolic. Recording this as systolic would be inaccurate.
Correct Answer is A
Explanation
Choice A reason: This is the correct answer because incontinence exposes the skin to moisture and irritants, increasing the risk of skin breakdown, infection, and pressure injuries. Perineal care reduces this risk by keeping the area clean and dry, protecting skin integrity.
Choice B reason: While promoting hygiene and minimizing odor are benefits of perineal care, they are not the primary reason. The main focus is preventing skin breakdown and infection, which are more serious complications.
Choice C reason: This statement is incorrect because perineal care does not remove all microorganisms. Normal flora remain on the skin, and the goal is to reduce harmful bacteria and prevent infection, not sterilize the area.
Choice D reason: Providing comfort is a secondary benefit of perineal care, but it is not the primary reason. The main purpose is to protect the skin and prevent complications related to incontinence.
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