A charge nurse is making assignments for a medical-surgical unit. Which of the following clients is appropriate to assign to a licensed practical nurse?
A client who has emphysema and has an oxygen saturation level of 92%
A client who has dehydration and is being admitted from the emergency department
A client who is scheduled to receive 2 units of RBCs following a hip replacement
A client who is scheduled to start oral nutrition 2 days after a cerebrovascular accident
The Correct Answer is A
Rationale:
A. A client with emphysema and an oxygen saturation of 92% is stable and within an expected range for this condition. This client’s care can be appropriately managed by an LPN.
B. Admission assessments must be completed by an RN, not an LPN.
C. Administration of blood products (RBCs) requires an RN due to the need for close monitoring and rapid intervention for transfusion reactions.
D. Initiating oral nutrition after a stroke involves swallowing assessment and risk for aspiration, which must be performed by an RN.
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Related Questions
Correct Answer is D
Explanation
Rationale:
A. Documenting assessment data is important but should follow planning and prioritization of care.
B. Reviewing new laboratory values is necessary for informed care but is part of the assessment and planning process, not the first step.
C. Completing required tasks without prioritization can lead to inefficient use of time and missed critical care.
D. Determining client care goals allows the nurse to prioritize tasks and plan the shift effectively, making it the first and most important step in time management.
Correct Answer is B
Explanation
Rationale:
A. A health care surrogate (or durable power of attorney for health care) does not have to be the oldest child; the client chooses the person they trust most to make decisions.
B. Advance directives are flexible and can be altered or revoked by the client at any time, as long as the client is competent.
C. A living will outlines the client’s treatment preferences, but it does not designate who will speak for the client. That role belongs to a health care proxy/surrogate.
D. Signing advance directives does not remove the client’s right to make decisions. The client retains autonomy as long as they are capable of decision-making.
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