A nurse is making shift assignments in a hospital. Which of the following tasks is appropriate to assign to a licensed practical nurse?

Determine adequacy of ventilator settings.

Pick up the meal trays after lunch.

Administer a nasogastric tube feeding.

Plan break times for assistive personnel.

Answer and Explanation

The Correct Answer is C

Rationale:
A. Determining the adequacy of ventilator settings requires assessment and critical judgment, which is the responsibility of an RN, not an LPN.
B. Picking up meal trays is a non-nursing task and can be delegated to assistive personnel (AP).
C. Administering a nasogastric tube feeding is within the scope of practice for an LPN, making this an appropriate assignment.
D. Planning break times for APs is a supervisory responsibility that falls under the role of the RN, not the LPN.

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Correct Answer is ["A","B","E","F","H","I"]

Explanation

Rationale:
A. Hydration status: Nausea, vomiting, and limited oral intake put the client at risk for dehydration, requiring monitoring and possible intervention.
B. Heart rate: Increased from 80/min at 1730 to 102/min at 2300, indicating possible systemic stress or dehydration.
E. Headache: Client reports a severe headache (7/10), which can indicate systemic worsening or complications.
F. Temperature: Rose to 39° C (102.2° F), showing worsening infection.
H. Emesis: Client vomited 230 mL, which can contribute to fluid and electrolyte imbalance.
I. Blood pressure: Increased from 118/72 mm Hg to 152/92 mm Hg, suggesting possible stress response, pain, or early complications.

A. A client who reports shortness of breath and left neck and shoulder pain B. A client who has a raised red skin rash on their arms, neck, and face C. A client who reports right-sided flank pain and is diaphoretic D. A client who has active bleeding from a puncture wound of the left groin area

Correct Answer is D

Explanation

Rationale:
A. Shortness of breath with left neck and shoulder pain may indicate cardiac ischemia and is urgent, but it is not as immediately life-threatening as uncontrolled external bleeding.
B. A raised red skin rash is uncomfortable and may indicate allergy or infection, but it is not life-threatening at this moment.
C. Flank pain with diaphoresis suggests possible renal calculi or another serious condition, but it does not take priority over airway, breathing, or circulation compromise.
D. Active bleeding from the groin poses an immediate threat to circulation and survival, making this client the highest priority based on the ABC (Airway, Breathing, Circulation) framework.

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A nurse is making shift assignments in a hospital. Which of the following tasks is appropriate to assign to a licensed practical nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is ["A","B","E","F","H","I"]

Explanation

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Correct Answer is D

Explanation

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