A charge nurse is reinforcing teaching with a newly hired licensed practical nurse about scope of practice. Which of the following responsibilities should the nurse include in the teaching?

Coordinating client care

Providing direct client care

Assessing a client's health status

Providing a client with discharge instructions

Answer and Explanation

The Correct Answer is B

A. Coordinating client care: Coordination of care involves synthesizing assessments, planning interventions, and collaborating with multiple disciplines, which requires independent clinical judgment. This responsibility falls within the registered nurse’s scope of practice, not the LPN’s.

B. Providing direct client care: LPNs are trained to provide hands-on care, including administering medications (excluding certain IV medications), monitoring vital signs, assisting with activities of daily living, and implementing established care plans. Direct client care is a primary LPN responsibility and aligns with their scope of practice under RN supervision.

C. Assessing a client's health status: Comprehensive assessment, interpretation of findings, and determining nursing diagnoses require independent critical thinking and clinical decision-making. These tasks are within the RN scope and exceed the LPN’s role, which focuses on collecting data and reporting changes.

D. Providing a client with discharge instructions: Teaching clients about medications, follow-up care, or lifestyle modifications involves patient education and clinical judgment. LPNs may reinforce previously taught instructions but do not independently initiate discharge teaching, which is an RN responsibility.

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Correct Answer is C

Explanation

A. Decreased blood pressure: In acute glomerulonephritis, fluid retention and sodium accumulation often lead to hypertension rather than hypotension. Decreased blood pressure would be unusual and could indicate another underlying issue.

B. Pale yellow urine: Clients typically present with hematuria, which causes tea-colored or cola-colored urine, not pale yellow. The discoloration results from red blood cells leaking into the urine due to glomerular inflammation.

C. Periorbital edema: Fluid retention is common in acute glomerulonephritis, particularly in the face and around the eyes. Edema results from decreased glomerular filtration and sodium/water retention, making periorbital swelling a classic and expected finding.

D. Increased urination: Oliguria, or decreased urine output, is more typical in acute glomerulonephritis due to impaired renal function. Polyuria is not usually associated with this condition unless complications like diabetes insipidus are present.

A. BUN B. Serum potassium C. PT D. Serum sodium E. INR

Correct Answer is ["C","E"]

Explanation

A. BUN: Blood urea nitrogen is a marker of renal function and is not directly affected by warfarin therapy. While renal function is important for overall medication safety, it does not guide warfarin dosing or anticoagulation monitoring.

B. Serum potassium: Potassium levels are important for cardiac and neuromuscular function but are not influenced by warfarin. Monitoring potassium is unrelated to evaluating the effectiveness or safety of warfarin therapy.

C. PT: Prothrombin time measures the extrinsic and common coagulation pathways, which are directly affected by warfarin. Checking PT before administration helps assess anticoagulation status and the risk of bleeding, allowing for appropriate dose adjustments.

D. Serum sodium: Sodium levels are critical for fluid balance and neurologic function but do not affect warfarin therapy or coagulation. Monitoring sodium is not necessary for safe administration of warfarin.

E. INR: International normalized ratio standardizes PT results to guide warfarin therapy safely. It provides a reliable measure of anticoagulation and bleeding risk, and checking INR before administering warfarin ensures the dose is appropriate for therapeutic anticoagulation.

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A charge nurse is reinforcing teaching with a newly hired licensed practical nurse about scope of practice. Which of the following responsibilities should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a child who has acute glomerulonephritis. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

A nurse is caring for a client who is receiving warfarin 5 mg PO daily. Which of the following laboratory values should the nurse check prior to administering the medication? (Select all that apply.)

Correct Answer is ["C","E"]

Explanation

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