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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Chronic constipation is a common finding in clients with hemorrhoids. Constipation can increase pressure on the veins in the rectum and anus, leading to the development of hemorrhoids.
The other options are not correct because:
b) Excessive flatulence is not mentioned as a common finding in clients with hemorrhoids.
c) Frequent stools are not mentioned as a common finding in clients with hemorrhoids.
d) Fecal incontinence is not mentioned as a common finding in clients with hemorrhoids.
Correct Answer is C
Explanation
c. Administer the medication drops directly into the lower conjunctival sac of each eye.
Explanation: Administering the medication drops directly into the lower conjunctival sac of each eye helps to minimize systemic absorption. This route allows the medication to be delivered closer to the target area and reduces the likelihood of systemic absorption compared to other routes.
Option a, applying light pressure to the inner canthus just after instilling the eye drops, is not an effective method for minimizing systemic absorption. Applying pressure to the inner canthus can actually increase systemic absorption by promoting drainage into the nasolacrimal duct and nasal passages.
Option b, wiping the eye from the inner to the outer canthus with a sterile saline-moistened coton ball, is not relevant to minimizing systemic absorption. This action is typically done for cleaning the eye or removing debris and does not affect systemic absorption of the medication.
Option d, waiting 5 minutes after instillation before instilling the drops in the other eye, does not directly minimize systemic absorption. This time interval is typically recommended to allow adequate contact time for the medication to be absorbed in the eye before instilling drops in the other eye, but it does not specifically address minimizing systemic absorption.
Administering the medication drops directly into the lower conjunctival sac of each eye is the most effective way to target the medication to the desired area and minimize systemic absorption.
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