A charge nurse is making assignments for a group of clients.

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

A client who is postoperative following a hip arthroplasty and has a respiratory rate of 10/min

A client who has a urinary output of 30 mL in the past hour

A client who is newly admitted and requires an admission assessment

A client who has a new diagnosis of diabetes mellitus and is awaiting teaching about meal planning

Answer and Explanation

The Correct Answer is B

A. A client who is postoperative following a hip arthroplasty and has a respiratory rate of 10/min likely requires closer monitoring and assessment of respiratory status. This may be more suitable for a registered nurse (RN), especially considering the potential for respiratory complications postoperatively. nd dietary considerations.

B.A client with a urinary output of 30 mL in the past hour may require assessment and intervention related to urinary function. While this may not necessarily require the expertise of an RN, it may be within the scope of practice for an LPN to monitor urinary output and report findings to the RN.

Option C, a newly admitted client requiring an admission assessment, should also be assigned to an RN, as this involves a comprehensive assessment that may require identifying potential risks and initiating appropriate interventions.

D. A client with a new diagnosis of diabetes mellitus awaiting teaching about meal planning may benefit from education provided by an RN or a certified diabetes educator (CDE) due to the complexity of diabetes management and the need for individualized teaching.

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Correct Answer is A

Explanation

This statement reflects an important recommendation for car seat safety. It is recommended to keep infants and toddlers rear-facing in their car seats until they reach the age of 2 or until they outgrow the height and weight limits specified by the car seat manufacturer. Rear-facing car seats provide better protection for the child's head, neck, and spine in the event of a crash.

"I should position the car seat's retainer clip at the level of my baby's belly button." The correct position for the retainer clip is at the armpit level. It should be positioned across the chest, resting on the bony part of the child's shoulders. Placing the retainer clip at the level of the belly button can be unsafe and may not provide proper protection.

"I should enable the airbag when my baby is in the front seat of the car." It is not recommended to place a rear-facing car seat in the front seat of a vehicle with an active airbag. The force of the airbag deployment can cause serious injuries to the child. The safest place for a rear-facing car seat is in the back seat of the vehicle.

"I should place my baby in the car seat at a 90-degree angle." The angle at which the car seat is installed depends on the specific instructions provided by the car seat manufacturer. It is important to follow the manufacturer's guidelines for proper installation. Some car seats have built-in angle indicators or adjustable recline positions to help achieve the correct angle for optimal safety.

A. Check on the client every 10 min during the bath. B. Add bath oil to the water after the client gets into the tub. C. Drain the tub water before the client gets out. D. Allow the client to remain in the bath for 30 min.

Correct Answer is C

Explanation

A.If the client is independent, give them privacy to bathe, if they prefer. If leaving a client unattended, check on them every 5 minutes or more frequently as needed. Ensure the client knows how to use safety items such as shower chairs and grab bars.

B.Adding bath oil can make the tub slippery and increase the risk of falls. If used, it should be added before the client gets in, and the client should be made aware so they can be cautious.

C.Draining the tub water before the client gets out helps prevent slips and falls that can occur if the client attempts to exit the tub while the water is still present. This practice enhances safety by reducing the risk of accidents.

D.Tub baths or very warm showers can lead to a person feeling faint, nauseous, or tired. Baths should not last longer than 20 minutes and should be discontinued at the first sign of patient discomfort, weakness, or complaints of feeling faint.

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A charge nurse is making assignments for a group of clients. Which of the following clients should the nurse assign to a licensed practical nurse?

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A charge nurse is making assignments for a group of clients.

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