Which patient below is best assigned to the LPN?
A 55-year-old male patient who post MI ready for discharge, requiring discharge instruction
A newly admitted patient with a seizure disorder.
A 40-year-old female 1-day post hysterectomy
A 30-year-old male patient with active GI bleeding that requires multiple blood transfusions.
The Correct Answer is C
A. A 55-year-old male patient who post MI ready for discharge, requiring discharge instruction: Discharge instructions require comprehensive teaching and assessment, which are more appropriate for an RN.
B. A newly admitted patient with a seizure disorder: This patient requires thorough assessment and development of a care plan, which is best managed by an RN.
C. A 40-year-old female 1-day post hysterectomy: This patient is in a relatively stable condition and requires routine postoperative care, which is within the scope of practice for an LPN.
D. A 30-year-old male patient with active GI bleeding that requires multiple blood transfusions: This patient is unstable and requires close monitoring and frequent reassessment, which are responsibilities for an RN.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
A. Sit patiently, quietly, and engaged. This shows the nurse is present and supportive, allowing the client to feel comfortable and respected.
B. Use open-ended questions starting with "Why."Questions starting with "Why" can be perceived as accusatory or confrontational, potentially increasing the client's discomfort.
C. Use open-ended questions starting with "Tell." Open-ended questions encourage the client to express themselves more freely, facilitating communication.
D. Allow the client time to think and reflect. Giving the client time respects their need to process thoughts and feelings before responding.
E. Use close-ended questions to establish an increase in communication. Close-ended questions can limit responses and do not encourage the client to open up or elaborate on their feelings.
Correct Answer is C
Explanation
A. Develop short-term goals for the client in the teaching plan: Developing goals is part of the planning phase, not the assessment phase.
B. Show the client how to draw up the insulin in a syringe: This is part of the implementation phase, where the nurse provides instructions and demonstrations.
C. Assess the client’s readiness for learning: Assessing the client’s readiness to learn is part of the assessment phase, determining if the client is prepared and willing to learn the new skill.
D. Ask the client to demonstrate self-injection: This is part of the evaluation phase, where the nurse assesses the client’s ability to perform the skill taught.
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