A nurse on a medical-surgical unit is caring for a group of clients with the assistance of a licensed practical nurse (LPN) and assistive personnel. Which of the following tasks should the nurse assign to the LPN?
Accompanying a client who just had a wound debridement to physical therapy
Obtaining a urine specimen from an older adult client
Providing postmortem care for a client who just died
Reinforcing dietary teaching with a client who has heart disease
The Correct Answer is D
- Choice A: Accompanying a client who just had a wound debridement to physical therapy.
- Rationale: This task involves monitoring the client's status during transport and potentially during the therapy session, which is within the scope of practice for an RN due to the recent surgical procedure and the need for assessment skills.
- Choice B: Obtaining a urine specimen from an older adult client.
- Rationale: While an LPN can perform this task, it is more appropriate for assistive personnel to carry out under the supervision of an RN or LPN, as it does not require the advanced skills of an LPN.
- Choice C: Providing postmortem care for a client who just died.
- Rationale: Postmortem care can be performed by an LPN or assistive personnel. However, it does not require the clinical judgment or advanced skills of an LPN, making it a task that could be delegated to assistive personnel.
- Choice D: Reinforcing dietary teaching with a client who has heart disease.
- Rationale: This task requires an understanding of disease processes and the ability to educate clients, which are within the scope of practice for an LPN. It is a suitable task to delegate to an LPN, who can reinforce teaching initiated by an RN.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
a. A client with Alzheimer's disease and bacterial pneumonia experiencing newly onset restlessness may indicate a change in condition requiring immediate assessment and intervention.
b. While a fasting blood glucose level of 200 mg/dL in a newly admitted client with diabetes mellitus is concerning, it may not require immediate assessment compared to acute changes in condition.
c. A pain level of 7 in a client 24 hours postoperative following hip surgery is significant but may not be as urgent as assessing a client with newly onset restlessness.
d. A client 3 days postoperative and ready for discharge may require routine assessment but is not likely to require immediate attention compared to other clients with acute changes in condition.
Correct Answer is D
Explanation
- Choice A: Accompanying a client who just had a wound debridement to physical therapy.
- Rationale: This task involves monitoring the client's status during transport and potentially during the therapy session, which is within the scope of practice for an RN due to the recent surgical procedure and the need for assessment skills.
- Choice B: Obtaining a urine specimen from an older adult client.
- Rationale: While an LPN can perform this task, it is more appropriate for assistive personnel to carry out under the supervision of an RN or LPN, as it does not require the advanced skills of an LPN.
- Choice C: Providing postmortem care for a client who just died.
- Rationale: Postmortem care can be performed by an LPN or assistive personnel. However, it does not require the clinical judgment or advanced skills of an LPN, making it a task that could be delegated to assistive personnel.
- Choice D: Reinforcing dietary teaching with a client who has heart disease.
- Rationale: This task requires an understanding of disease processes and the ability to educate clients, which are within the scope of practice for an LPN. It is a suitable task to delegate to an LPN, who can reinforce teaching initiated by an RN.
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