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
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.Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Herpes simplex is a viral infection that causes skin eruptions or lesions. To promote healing and prevent secondary infections, it is important to keep the affected area clean. Cleansing the skin eruptions with povidone-iodine, an antiseptic solution, can help reduce the risk of infection and promote healing.
The other options are incorrect:
Over-the-counter topical ointments are generally not recommended for the treatment of herpes simplex outbreaks. It is best to consult with a healthcare provider for appropriate medication and treatment options.
Herpes simplex is a viral infection, and antibiotics are used to treat bacterial infections. Antibiotics are not effective against viral infections like herpes simplex.
Placing disposable thermometers in the client's room is not directly related to the management of a herpes simplex outbreak. It is important to focus on interventions specific to the client's condition.
Correct Answer is A
Explanation
Stressors can be categorized as external or internal. External stressors are factors or events in the environment that can cause stress.
In this case, the recent move to a new city is an external stressor because it is an event that has occurred outside of the client and is influencing their current state of stress. Moving to a new city can bring about significant changes and challenges, such as adjusting to a new environment, finding new social connections, and adapting to unfamiliar surroundings.
B. Feeling depressed is an internal stressor because it relates to the client's emotional state or mental health condition. Depression can be caused by various factors, such as biochemical imbalances, life circumstances, or genetic predispositions.
C. Lack of nutritional knowledge: This is an internal stressor because it refers to the client's lack of knowledge or awareness regarding nutrition. While the lack of nutritional knowledge can contribute to stress, it is an internal factor that can be addressed through education and learning.
D. While recurring urinary tract infections can be stressful for the client, they are considered an internal stressor because they involve a physical condition or health issue within the client's body. Addressing and managing the infections would involve medical interventions and possibly lifestyle modifications.
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