A nurse on a medical surgical unit has received report on four clients. There is an LVN, RN, and UAP working. Which of the following clients would best to assign to the RN?

Reinforcing teaching with a patient who is learning to walk with a quad cane

A new admission to the unit complaining of chest pain

Inserting an NGT for a client who is unable to eat

Calculating intake and output for the unit

Answer and Explanation

The Correct Answer is B

A. Reinforcing teaching with a patient who is learning to walk with a quad cane: Reinforcing teaching can be done by an LVN, as it involves stable, predictable outcomes.
B. A new admission to the unit complaining of chest pain: A new admission with chest pain requires a comprehensive assessment and potential critical thinking and intervention, which are within the scope of an RN.
C. Inserting an NGT for a client who is unable to eat: Inserting an NGT can be done by an RN or LVN, but it does not require the comprehensive assessment and critical thinking that managing a new admission with chest pain does.
D. Calculating intake and output for the unit: Calculating intake and output is a task that can be delegated to a UAP.

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Correct Answer is A

Explanation

A. Reapplying a condom catheter for a client with urinary incontinence: This is a routine task that is appropriate for a nursing assistant to perform under supervision.
B. Feeding a stroke client who has difficulty in swallowing: This task requires careful monitoring for aspiration risks and should be performed by a licensed nurse or speech therapist.
C. Completing a sterile dressing change to a pressure ulcer: This task requires sterile technique and should be performed by a licensed nurse.
D. Reinforcing teaching with a client who is learning how to administer insulin: Teaching and reinforcing education should be performed by a licensed nurse.

A. Planning B. Assessment C. Implementation D. Evaluation

Correct Answer is A

Explanation

A. Planning: Developing goals is part of the planning phase, where the nurse sets objectives and outcomes for the patient’s care.
B. Assessment: Assessment involves collecting data about the patient’s condition.
C. Implementation: Implementation involves putting the care plan into action.
D. Evaluation: Evaluation involves determining whether the patient has met the goals and outcomes set during the planning phase.

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A nurse on a medical surgical unit has received report on four clients. There is an LVN, RN, and UAP working. Which of the following clients would best to assign to the RN?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse on a medical surgical unit has received report on four clients. Which of the following clients should the nurse assign to the NA?

Correct Answer is A

Explanation

A nurse is developing pain management goals to a post-operative client. Which of the following steps of the nursing process is the nurse performing?

Correct Answer is A

Explanation

Which client would be best assigned to an RN and not an LPN?

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