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 A
Explanation
A. "You can use an eyebrow pencil to fill in your eyebrows.": This statement provides practical, supportive guidance that empowers the client to manage visible effects of chemotherapy. Offering concrete strategies for coping with hair loss helps maintain self-esteem and promotes a sense of control during treatment.
B. "I lost my hair, too, when I went through chemotherapy.": Sharing personal experiences can sometimes foster connection, but it may shift focus away from the client’s feelings and minimize their individual emotional response. The priority is validating the client’s concerns rather than centering the nurse’s experiences.
C. "Before you know it, your hair will grow back.": While hair regrowth is expected after chemotherapy, this statement may unintentionally dismiss the client’s current distress. It does not address the emotional impact of hair loss in the present moment.
D. "You should focus on getting better.": This directive can be perceived as dismissive and minimizes the client’s emotional experience. It fails to acknowledge the psychosocial impact of chemotherapy side effects and does not offer supportive guidance.
Correct Answer is C
Explanation
A. "I can have mustard on my sandwiches.": Mustard is high in sodium and can contribute significantly to daily sodium intake, which is contraindicated for clients with cardiomyopathy who need to limit sodium to reduce fluid retention and cardiac workload.
B. "I can season foods with celery salt.": Celery salt contains sodium and is not an appropriate seasoning for clients on a low-sodium diet. Using it can exacerbate fluid retention, hypertension, and worsening heart failure symptoms.
C. "I can eat frozen juice bar for dessert.": Many frozen juice bars are low in sodium and suitable for a heart-healthy, low-sodium diet. Choosing these types of snacks helps the client manage fluid balance and cardiac workload effectively.
D. "I can drink vegetable juice with my meals.": Most commercial vegetable juices are very high in sodium, making them inappropriate for clients who need to restrict sodium intake. Consuming these can lead to fluid retention and increased cardiac strain.
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