A charge nurse has assigned a group of clients to a licensed practical nurse (LPN). The charge nurse receives reports from her assigned clients about the LPN's lack of care. Which of the following actions should the charge nurse take?

Discuss the LPN's behavior with other nurses on the unit.

Review the LPN's personnel file.

Talk with the clients who have reported the LPN's lack of care.

Reassign some of the LPN's client care to assistive personnel.

Answer and Explanation

The Correct Answer is C

Rationale:

A. Discussing the LPN's behavior with other nurses could potentially lead to gossip and does not address the core issue.

B. The charge nurse does not have authority to review personnel files; this is handled by management or HR.

C. The most appropriate first step is to investigate the client concerns directly. This provides objective information to determine if further action (coaching, reassignment, reporting to management) is necessary.

D. Reassigning client care to assistive personnel does not address the root cause of the problem and may not be an appropriate or effective solution without further investigation.

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Correct Answer is ["A","D"]

Explanation

Rationale:

A. Ambulate an older adult client who has hypertension is a task that an AP can perform, provided the client is stable and has been assessed by the nurse.

B. Provide discharge instructions for a client who has a new skin graft is a task that requires nursing judgment and cannot be delegated to an AP.

C. Check a blood product with another nurse prior to administration is a nursing responsibility that requires verification by licensed personnel and cannot be delegated to an AP.

D. Weigh a client who has heart failure is appropriate for an AP, as it involves routine measurement that can be delegated.

E. Perform an admission assessment on a client is a nursing responsibility and cannot be delegated to an AP.

A. WBC 6,000/mm3 B. BUN 15 mg/dL C. Hemoglobin 14 g/dL D. Platelet count 60,000/mm3

Correct Answer is D

Explanation

A. WBC 6,000/mm³ is within normal range and does not require follow-up.

B. BUN 15 mg/dL is within normal range and does not require follow-up.

C. Hemoglobin 14 g/dL is within normal range for most adults and does not require follow-up.

D. Platelet count 60,000/mm³ is significantly low and requires follow-up as it can increase the risk of bleeding during surgery.

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A charge nurse has assigned a group of clients to a licensed practical nurse (LPN). The charge nurse receives reports from her assigned clients about the LPN's lack of care. Which of the following actions should the charge nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning to assign tasks for a group of clients. Which of the following tasks should the nurse plan to assign to an assistive personnel (AP)? (Select all that apply.)

Correct Answer is ["A","D"]

Explanation

A nurse in a provider's office is reviewing the laboratory findings for a client who is scheduled for surgery. Which of the following findings requires follow up by the nurse?

Correct Answer is D

Explanation

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