A nurse on a medical-surgical unit is caring for a group of clients with the assistance of a licensed practicing nurse 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 sterile urine specimen from an older adult client
Providing postmortem care for a client that just died
Reinforcing dietary teaching with a client who has heart disease
The Correct Answer is D
a. Accompanying a client who just had a wound debridement to physical therapy - LPNs can assist with client mobility and transportation, but wound debridement is a procedure that typically requires RN-level assessment and monitoring.
b. Obtaining a urine specimen from an older adult client - This role is more appropriate for the assstive personnel
c. Providing postmortem care for a client that just died - This task involves emotional support, dignity, and respect for the deceased, as well as proper documentation. It's within the RN scope of practice due to its complexity and emotional sensitivity.
d. Reinforcing dietary teaching with a client who has heart disease - LPNs can reinforce teaching once the initial teaching has been done by the RN, and dietary education for clients with heart disease often involves routine guidelines and doesn't necessarily require the comprehensive assessment and education provided by an RN. Therefore, this task is appropriate for the LPN.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
a. The client with Alzheimer's disease and bacterial pneumonia experiencing newly onset restlessness may indicate a change in their condition, such as worsening infection or delirium, which requires immediate assessment and intervention to address their underlying medical needs.
b. While hyperglycemia in a newly admitted client with diabetes mellitus is concerning, it does not typically require immediate assessment unless accompanied by signs of diabetic ketoacidosis or other acute complications.
c. Although the client postoperative from hip fracture reduction reporting a pain level of 7 requires attention, it is not as urgent as assessing the client with newly onset restlessness, which may indicate a more acute issue.
d. The client who is 3 days postoperative and ready for discharge does not require immediate assessment compared to the client with newly onset restlessness, whose condition may be deteriorating.
Correct Answer is D
Explanation
A. Collaborating involves working together with all parties to find a mutually beneficial solution. This approach values input from others and seeks consensus, which is not demonstrated in the scenario.
B. Cooperating typically refers to acknowledging and accommodating others' concerns while trying to maintain relationships. The nurse manager’s approach does not reflect this strategy, as she is disregarding opposing feelings.
C. Compromising seeks a middle ground where both parties can give and take to reach an agreement. The nurse manager's unilateral decision-making does not align with compromising.
D. Competing is characterized by an assertive and uncooperative stance, where one party seeks to impose their preferred solution without regard for others’ input or feelings. The nurse manager’s decision to implement changes despite opposition exemplifies this strategy.
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