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. HICS focuses on organizing and managing internal facility operations rather than mobilizing external multidisciplinary responders.

B. HICS does not directly ensure the availability of specific medical supplies; this is usually managed through other systems or protocols.

C. HICS is primarily concerned with internal facility management, not providing additional responders from outside agencies.

D. HICS helps to define roles, responsibilities, and reporting channels within the facility during a disaster, ensuring effective internal management.

A. A client who has pneumonia and has an axillary temperature of 38° C (101° F) B. A client who has diarrhea and requests clear liquids for breakfast C. A client who has a cast on the left leg and reports numbness and paresthesia D. A client who has type 1 diabetes mellitus and has a fasting blood glucose level of 150

Correct Answer is C

Explanation

Rationale:

A. A client who has pneumonia and has an axillary temperature of 38° C (101° F) has an elevated temperature, but it is less critical than immediate concerns with circulation.

B. A client who has diarrhea and requests clear liquids for breakfast needs dietary adjustments but does not present as urgent.

C. A client who has a cast on the left leg and reports numbness and paresthesia could be experiencing complications such as compartment syndrome, which is an urgent condition requiring immediate assessment.

D. A client who has type 1 diabetes mellitus and has a fasting blood glucose level of 150 is important to monitor but not as immediately critical as potential complications with circulation.

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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?

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Naxlex Comprehensive Predictor Exams

A charge nurse is discussing disaster response with nursing staff. Which of the following statements indicates an understanding of the Hospital Incident Command System (HICS)?

Correct Answer is D

Explanation

A nurse is assessing four clients on a medical-surgical unit. Which of the following clients should the nurse care for first?

Correct Answer is C

Explanation

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