A nurse is reviewing client care assignments prior to the beginning of a shift. Which of the following client assignments should the nurse identify as being outside the scope of practice for an LPN?

A client who has a new onset of chest pain

A client who has a tracheostomy

A client who is receiving enteral feedings

A client who has urinary retention

Answer and Explanation

The Correct Answer is A

The nurse should identify that caring for a client who has a new onset of chest pain is outside the scope of practice for an LPN. This is a complex and potentially life-threatening situation that requires the assessment and intervention of a registered nurse (RN) or other advanced practice provider.

b) Caring for a client who has a tracheostomy is within the scope of practice for an LPN.

c) Caring for a client who is receiving enteral feedings is within the scope of practice for an LPN.

d) Caring for a client who has urinary retention is within the scope of practice for an LPN.

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Correct Answer is C

Explanation

The nurse should clarify the prescription for cefazolin with the provider. Cefazolin is a cephalosporin antibiotic, and there is a risk of cross-reactivity in individuals who have an allergy to penicillin.

a) Doxycycline and b) Vibramycin (which is another name for doxycycline) are tetracycline antibiotics and are not related to penicillin.

d) Gentamicin is an aminoglycoside antibiotic and is also not related to penicillin.

A. Puncture the heel to a depth of 4 mm to obtain the specimen. B. Withhold feeding prior to collecting the specimen. C. Apply a heat pack 5 to 10 minutes prior to the procedure. D. Elevate the newborn's foot for 15 minutes following the procedure.

Correct Answer is C

Explanation

The nurse should apply a heat pack 5 to 10 minutes prior to the procedure when planning to obtain blood from a newborn via a heel stick. This helps to increase blood ﬂow to the area and makes it easier to obtain the specimen.

a) Puncturing the heel to a depth of 4 mm is too deep and can cause injury to the newborn. The recommended depth for a heel stick is 2.4 mm or less.

b) Withholding feeding prior to collecting the specimen is not necessary.

d) Elevating the newborn's foot for 15 minutes following the procedure is not necessary.

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A nurse is reviewing client care assignments prior to the beginning of a shift. Which of the following client assignments should the nurse identify as being outside the scope of practice for an LPN?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an adolescent who has an allergy to penicillin. Which of the following prescriptions should the nurse clarify with the provider?

Correct Answer is C

Explanation

A nurse is planning to obtain blood from a newborn via a heel stick. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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