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

Answer and Explanation

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.

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Correct Answer is D

Explanation

a. Concerns about paying for therapy may indicate financial worries but do not necessarily suggest a need for occupational therapy specifically.
b. Expressing hope to adjust to using crutches is a common concern for post-amputation clients but does not specifically indicate a need for occupational therapy.
c. Difficulty accepting the appearance of the amputated limb may indicate a need for psychological support or counseling rather than occupational therapy.
d. Concerns about caring for a toddler at home following amputation may involve tasks that require adaptation and assistance, such as mobility, childcare activities, and home safety, which are within the scope of occupational therapy.

A. A client who has an asymmetrical thorax B. A client who has an open fracture of the femur C. A client who has preorbital edema D. A client who has a deep-partial thickness burn on the lower extremities

Correct Answer is A

Explanation

a. An asymmetrical thorax could indicate chest trauma which could compromise oxygen delivery.
b. An open fracture of the femur without vessel inury is a lesser priority than chest trauma.
c. Preorbital edema (swelling around the eyes) may indicate facial trauma but is not as immediately lifethreatening as an open fracture.
d. A deep-partial thickness burn on the lower extremities is serious but does not pose an immediate threat to life compared to other injuries such as an open fracture with potential bleeding and risk of infection.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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