A nurse is planning care for four clients and is assigning tasks to a licensed practical nurse (LPN) and an assistive personnel (AP). Which of the following should the nurse assign to the LPN?

Measure 1&O for a client who has an indwelling urinary catheter.

Reinforce teaching to a client to begin taking enoxaparin at home following a hip arthroplasty.

Develop a plan of care for a client who has cholecystitis.

Complete an admission assessment for a client who has COPD.

Answer and Explanation

The Correct Answer is B

Rationale:

A. Measuring I&O can be performed by an AP, as it does not require advanced skills or clinical judgment.

B. Reinforcing teaching about medication is within the LPN's scope of practice, as LPNs are trained to provide education and support based on the teaching provided by RNs or physicians.

C. Developing a plan of care is generally a responsibility of the RN, as it involves comprehensive assessment and planning.

D. Completing an admission assessment is a task for RNs due to its complexity and the need for a detailed clinical evaluation.

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Correct Answer is D

Explanation

Rationale:

A. Measuring I&O is a task typically assigned to APs or RNs, not specifically requiring the LPN’s scope of practice.

B. Obtaining a client’s weight is a basic task that can be performed by APs.

C. Providing postmortem care can be performed by LPNs, but this task is not as complex as some others.

D. Inserting a nasogastric tube requires skills and knowledge specific to LPNs, making it an appropriate task for them.

A. The nurse opens the top flap of a sterile tray toward the body when assisting the provider with a thoracentesis. B. The nurse uses clean gloves when discontinuing a client's intravenous infusion. C. The nurse uses the client's telephone number as one form of identification when administering medications to a client. D. The nurse empties a client's drainable colostomy pouch when it is one-third full.

Correct Answer is A

Explanation

Rationale:

A. When opening a sterile package or tray, the top flap should be opened away from the body to prevent contamination from the nurse’s uniform. Opening the flap toward the body risks breaking sterile technique, which is especially critical during procedures like thoracentesis. This is a break in sterile field, and the nurse manager should intervene immediately to prevent potential infection.

B. Using clean gloves is appropriate for non-sterile tasks like discontinuing an IV infusion.

C.The telephone number is considered an acceptable identifier according to The Joint Commission if it is in the medical record and used in combination with another identifier (like full name or date of birth).

D. Emptying a colostomy pouch when it is one-third full is appropriate practice to prevent overflow and maintain hygiene.

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A nurse is planning care for four clients and is assigning tasks to a licensed practical nurse (LPN) and an assistive personnel (AP). Which of the following should the nurse assign to the LPN?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

At the beginning of the shift, an RN is preparing assignments for a licensed practical nurse (LPN) and an assistive personnel (AP). Which of the following tasks should the nurse assign to the LPN?

Correct Answer is D

Explanation

A nurse manager is observing the care provided by a nurse who is in orientation to the unit. Which of the following actions by the nurse indicates the nurse manager should intervene?

Correct Answer is A

Explanation

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