A nurse has assigned client care activities to an assistive personnel (AP). Which of the following statements by the AP Indicates a need for assistance in establishing priorities?
"I have my assignment and will start with room 1, then work my way to room 10."
"After breakfast, I will pack the belongings of clients who will be discharged this morning."
"I will start by providing partial baths before breakfast."
"I will give this client his meal tray first, as he is going early to physical therapy."
The Correct Answer is A
Rationale:
A. Starting with room 1 and working to room 10 suggests a lack of prioritization based on client needs, which is important for efficient and effective care.
B. Packing belongings after breakfast is a reasonable plan, assuming it fits within the priorities of the shift.
C. Providing partial baths before breakfast might be acceptable depending on the client’s needs and the urgency of the task.
D. Giving a client their meal tray first based on their scheduled physical therapy is an example of prioritizing care based on client needs.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Analyzing data to identify issues for a client who has uncontrolled diabetes mellitus requires a higher level of clinical judgment and is typically performed by an RN.
B. Assisting a client with crutch walking following knee replacement surgery is an appropriate task for an LPN, as it involves support with activities of daily living and mobility.
C. Evaluating the outcomes of a new postoperative client involves assessing the effectiveness of care and requires RN-level assessment skills.
D. Developing the plan of care for a client who has an amputation involves comprehensive assessment and planning, which is usually the responsibility of an RN.
Correct Answer is D
Explanation
Rationale:
A. A red rash is concerning but not typically an immediate life-threatening condition compared to other options.
B. Severe flank pain may indicate a serious condition but is not as immediately critical as a life-threatening injury.
C. Multiple fractures can be serious but are generally less urgent compared to critical injuries involving major arteries.
D. A punctured femoral artery is a life-threatening emergency requiring immediate intervention to prevent massive blood loss and ensure survival.
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