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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["354"]
Explanation
Prescribed Dose: 5 mg/kg
Client Weight: 70.8 kg
- Calculate the dose in mg
Dose = 5 × 70.8
Dose = 354 mg
Correct Answer is A
Explanation
A. A 2-month-old infant: The DTaP vaccine series begins at 2 months of age according to the routine immunization schedule. Administering the first dose at this age provides early protection against diphtheria, tetanus, and pertussis, which can be severe in young infants. Subsequent doses are given at 4 months, 6 months, and booster doses at later intervals.
B. A 4-month-old infant: At 4 months, the infant is due for the second DTaP dose, not the initial dose. Administering the vaccine at this age without a prior first dose would be incomplete, as the series is designed to build immunity progressively from 2 months onward.
C. A 6-month-old infant: The 6-month visit typically coincides with the third DTaP dose in the primary series. The initial dose must have been administered at 2 months, making this age inappropriate for starting the series.
D. A 15-month-old toddler: By 15 months, the primary DTaP series should already be completed with a fourth dose administered between 15–18 months. Initiating the series at this age would require catch-up immunization protocols rather than the standard initial vaccination schedule.
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