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 D

Explanation

Furosemide works by promoting diuresis, which helps to reduce fluid volume overload in heart failure. Increased urinary output indicates that the medication is effectively removing excess fluid from the body. This can help alleviate symptoms such as edema and fluid retention commonly associated with heart failure. Therefore, an increased urinary output is a positive response to furosemide therapy in this context.

Decreased BUN (blood urea nitrogen) levels and weight loss are also expected outcomes of diuretic therapy, further indicating the effectiveness of the medication. However, a decreased hemoglobin level is not directly related to the efficacy of furosemide and might be indicative of other factors such as anemia or bleeding, requiring further assessment and intervention.

A. Locks the wheels on the client's bed B. Clears furniture from the path leading to the bathroom C. Assists the client to the bathroom every 2 hr D. Raises all four side-rails on the client's bed

Correct Answer is D

Explanation

The nurse should intervene when the AP raises all four side rails on the client's bed. While it is important to ensure the client's safety and minimize the risk of falls, raising all four side rails can be considered a restraint and may not be the best practice for fall prevention. The use of physical restraints, including all four side rails, can lead to adverse outcomes such as entrapment, increased agitation, and decreased mobility.

A. Locking the wheels on the client's bed: This is an appropriate action to prevent the bed from rolling and ensure stability.

B. Clearing furniture from the path leading to the bathroom: This is a good practice as it creates a clear and safe path for the client to walk without obstacles.

C. Assisting the client to the bathroom every 2 hours: This is a proactive measure to prevent falls by ensuring regular toileting and minimizing the need for the client to get up and move independently.

It's important to promote mobility and independence for the client while ensuring their safety.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who has heart failure and is taking furosemide. Which of the following findings should indicate to the nurse that the medication is effective?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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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?