How it Works
Try Naxlex NCLEX-RN (Free-Trial)

A charge nurse is delegating care for a group of clients.

Which of the following tasks should the charge nurse assign to a licensed practical nurse?

A.

Complete discharge teaching for a client who has a new diagnosis of diabetes mellitus.

B.

Complete the Glasgow Coma Scale for a client who has an evolving stroke

C.

Perform a sterile dressing change for a client who has an abdominal wound

D.

Perform an admission assessment for a client who is scheduled for surgery

Answer and Explanation

The Correct Answer is C

The correct answer is choice C. Perform a sterile dressing change for a client who has an abdominal wound. This is because a licensed practical nurse (LPN) can perform tasks that require technical skills and have predictable outcomes, such as dressing changes. A sterile dressing change is also within the scope of practice of an LPN.

Choice A is wrong because complete discharge teaching for a client who has a new diagnosis of diabetes mellitus requires assessment, evaluation and critical thinking, which are beyond the scope of practice of an LPN. Discharge teaching is the responsibility of a registered nurse (RN) who can provide education and counseling to clients and families.

Choice B is wrong because completing the Glasgow Coma Scale for a client who has an evolving stroke requires assessment and interpretation of neurological status, which are complex and unpredictable tasks that only an RN can perform. The Glasgow Coma Scale is a tool that measures the level of consciousness of a client based on eye opening, verbal response and motor response. A client who has an evolving stroke may have changes in their neurological status that require frequent monitoring and intervention by an RN.

Choice D is wrong because performing an admission assessment for a client who is scheduled for surgery requires comprehensive data collection, analysis and synthesis, which are advanced skills that only an RN can perform. An admission assessment involves obtaining a complete health history, performing a physical examination, identifying client needs and problems, and developing a plan of care.

A client who is scheduled for surgery may have complex and unpredictable needs that require specialized knowledge and judgment by an RN.

 


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

Naxlex Comprehensive Predictor Exams

Free Nursing Study Resources

Related Questions

Correct Answer is C

Explanation

The correct answer is choice C. Holding the client’s eyes shut for a few seconds.

This is because the eyes of a deceased client do not close naturally and may remain open after death. Holding them shut for a few seconds helps to keep them closed and prevent drying of the corneas.

This also gives a more peaceful appearance to the client’s body for the family visit.

Choice A is wrong because crossing the client’s arms across their chest is not a standard postmortem care procedure. It may also interfere with the placement of identification tags on the wrists.

Choice B is wrong because placing the client in a high-Fowler’s position is not necessary or appropriate for postmortem care. The client should be placed in a supine position with the head of the bed elevated to prevent livor mortis (purple discoloration of the skin) on the face.

Choice D is wrong because removing the client’s dentures from their mouth is not recommended for postmortem care. The dentures should be left in place to maintain the shape of the face and prevent the jaw from dropping.

Normal ranges are not applicable for this question as it does not involve any physiological measurements.

Correct Answer is B

Explanation

The correct answer is b. Remove the device from the room.

Choice A rationale:

  • Reporting the defect to the equipment maintenance staff is essential,but it's not the immediate priority.The primary concern is to eliminate the safety hazard posed by the frayed cord to prevent potential harm to the client and others.
  • Delaying the removal of the device could lead to electrical shock,fire,or other serious consequences.
  • Therefore,removing the device from the room takes precedence over reporting the defect.

Choice B rationale:

  • Removing the device from the room is the most appropriate first action because it:
    • Eliminates the immediate safety hazard.
    • Prevents potential harm to the client and others.
    • Protects the device from further damage.
    • Ensures the safety of the environment.
    • Demonstrates the nurse's prioritization of patient safety.

Choice C rationale:

  • Initiating a requisition for a replacement CPM device is necessary to ensure the client's continued treatment.
  • However,it's not the first action because it doesn't address the immediate safety concern.
  • The nurse should first remove the faulty device and then initiate the process for obtaining a replacement.

Choice D rationale:

  • Ensuring the device inspection sticker is current is a vital part of equipment maintenance.
  • However,it's not relevant to the immediate safety issue of the frayed cord.
  • The presence of a current inspection sticker doesn't guarantee the device's safety or functionality at that moment.
  • The nurse must prioritize removing the hazard and then follow up with appropriate documentation and reporting.

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

Register