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 has a new diagnosis of diabetes mellitus and is awaiting teaching about meal planning.

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

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

A client who is newly admitted and requires an admission assessment.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

A client who has a new diagnosis of diabetes mellitus and is awaiting teaching about meal planning requires education and counseling about managing their condition, including meal planning and blood glucose monitoring. This client should be assigned to a registered nurse or an advanced practice nurse with expertise in diabetes care.

Choice B rationale:

A client who has a urinary output of 30 mL in the past hour may have an issue with urinary retention or inadequate fluid intake. This client needs immediate assessment and intervention, including monitoring urinary output and assessing for urinary retention. Assigning this client to a licensed practical nurse (LPN) may delay timely intervention.

Choice C rationale:

A client who is postoperative following a hip arthroplasty and has a respiratory rate of 10/min requires monitoring of vital signs and assessment for potential respiratory complications. While the respiratory rate is within the normal adult range, postoperative clients are at risk for respiratory issues, such as atelectasis or pneumonia. LPNs are qualified to monitor vital signs and assess for early signs of respiratory distress in stable postoperative clients.

Choice D rationale:

A client who is newly admitted and requires an admission assessment should be assigned to a registered nurse (RN) or an advanced practice nurse. The admission assessment typically involves a comprehensive evaluation of the client's physical and psychosocial health, including a detailed history and physical examination, which falls within the scope of practice of an RN.

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Correct Answer is A

Explanation

Choice A rationale:

Thick, white vaginal discharge is a common symptom of candidiasis, which is a fungal infection caused by Candida species. It is a characteristic finding in this condition.

Choice B rationale:

A hard, painless chancre is associated with syphilis, not candidiasis. This finding is not related to candidiasis.

Choice C rationale:

A feeling of pelvic heaviness is not a typical symptom of candidiasis. It may be associated with other gynecological conditions but is not specific to candidiasis.

Choice D rationale:

Frothy, malodorous discharge is characteristic of trichomoniasis, another type of vaginal infection caused by Trichomonas vaginalis. It is not a typical finding in candidiasis.

A. Sounds are soft and at a rate of 1/min. B. Sounds are high-pitched. C. No sounds heard after listening for 3 to 5 min.

Correct Answer is B

Explanation

Choice A rationale:

Soft bowel sounds at a rate of 1 per minute describe hypoactive bowel sounds, which indicate decreased motility. This choice does not describe hyperactive bowel sounds.

Choice B rationale:

High-pitched bowel sounds are characteristic of hyperactive bowel sounds. These sounds are associated with increased motility and can indicate conditions such as diarrhea or early bowel obstruction. This choice correctly describes hyperactive bowel sounds.

Choice C rationale:

The absence of bowel sounds after listening for 3 to 5 minutes is indicative of absent or hypoactive bowel sounds, not hyperactive bowel sounds.

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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 in a provider's office is collecting data from a client who has candidiasis.Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

A nurse is reinforcing teaching to a newly licensed nurse about bowel sounds. Which of the following characteristics should the nurse use to describe hyperactive bowel sounds?

Correct Answer is B

Explanation

A nurse is caring for a client who is 1 day postoperative following a total hip arthroplasty and is receiving heparin subcutaneously.Which of the following adverse effects of the medication should the nurse report to the provider?

A nurse is administering pancrelipase to a child who has cystic fibrosis. Which of the following outcomes should the nurse expect as a therapeutic effect of the treatment?

A nurse is reinforcing teaching about laboratory testing with a client.Which of the following findings should the nurse include as an indicator of infection?

A nurse in a long-term care facility observes an assistive personnel who is incorrectly monitoring a client's blood glucose level. The nurse should report this observation to which of the following personnel first?

A nurse is providing site care for a child who has a gastrostomy enteral tube.Which of the following actions should the nurse take?

A nurse is caring for a client who is postoperative following a subtotal thyroidectomy. The nurse should place the client in which of the following positions?

A nurse is assisting a client who has cancer to select high-protein foods. Which of the following foods should the nurse recommend as the highest source of protein?

A nurse is assisting with the planning of an in-service about updates in wound care for nursing staff.Which of the following sources should the nurse identify as providing the best evidence-based information?

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?