A nurse is delegating care for a group of clients. Which of the following clients should the nurse assign to the LPN?

A client who is scheduled for an endoscopy later today and requires an enema

A newly admitted client who has sickle cell anemia and requires the development of an initial plan of care

A client who had a myocardial infarction and will be transferring to the unit from the CCU

A newly admitted client who has diabetes mellitus and requires initial teaching on self-administration of insulin

Answer and Explanation

The Correct Answer is A

Rationale:
a.   Administering an enema for a scheduled endoscopy is within the scope of practice for an LPN. It involves a task that is repetitive, stable, and does not require critical thinking.
b.   Developing an initial plan of care for a client with sickle cell anemia involves critical thinking and assessment, which are within the scope of practice for an RN.
c.   A client transferring from the CCU after a myocardial infarction requires close monitoring and assessment, which are typically within the scope of practice for an RN.
d.   Teaching a newly admitted client about self-administration of insulin involves education, assessment, and critical thinking, which are typically within the scope of practice for an RN.

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Correct Answer is B

Explanation

a. Recommending the AP come back later may delay necessary documentation and disrupt workflow.
b. Logging out so the AP can log in to document the vital signs ensures accurate and timely documentation without compromising security or privacy.
c. Offering to chart the vital signs for the AP may blur roles and responsibilities, as charting should be done by the individual who performed the assessment.
d. Allowing the AP to document vital signs prior to logging out may violate policies regarding unauthorized

A. A client who has Alzheimer’s disease and bacterial pneumonia with newly onset restlessness B. A client who is newly admitted with diabetes mellitus and whose fasting blood glucose level is 200 mg/dL C. A client who is 24 hr postoperative following surgical reduction of a hip fracture and reports a pain level of 7 on a scale from 0-10 D. A client who is 3 days postoperative following abdominal surgery and is ready for discharge

Correct Answer is A

Explanation

a. The client with Alzheimer's disease and bacterial pneumonia experiencing newly onset restlessness may indicate a change in their condition, such as worsening infection or delirium, which requires immediate assessment and intervention to address their underlying medical needs.
b. While hyperglycemia in a newly admitted client with diabetes mellitus is concerning, it does not typically require immediate assessment unless accompanied by signs of diabetic ketoacidosis or other acute complications.
c. Although the client postoperative from hip fracture reduction reporting a pain level of 7 requires attention, it is not as urgent as assessing the client with newly onset restlessness, which may indicate a more acute issue.
d. The client who is 3 days postoperative and ready for discharge does not require immediate assessment compared to the client with newly onset restlessness, whose condition may be deteriorating.

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A nurse is delegating care for a group of clients. Which of the following clients should the nurse assign to the LPN?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse has just completed assessment charting on the electronic record for an assigned client. As assistive personnel (AP) who just measured the client’s vital signs asks to chart them while the nurse is still logged into the record. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is caring for four clients. Which of the following clients should the nurse assess first?

Correct Answer is A

Explanation

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