An RN is making nursing staff assignments for his team consisting of himself, two licensed practical nurses (LPNs), and an assistive personnel (AP). Which of the following clients should he assume responsibility for?
The client who is actively dying and requires IV pain medication
The client who is 3 days postoperative and requires a dressing change
The client who requires frequent ambulation
The client who is in protective isolation
The Correct Answer is A
A. This client needs IV pain medication, which requires advanced skills and knowledge to manage and administer safely. This situation involves complex and sensitive care, including pain management and end-of-life issues. RNs are typically responsible for administering IV medications, especially in critical or end-of-life situations.
B. A client who is 3 days postoperative and needs a dressing change generally requires a level of care that may be suitable for LPNs. LPNs are trained to perform dressing changes and manage postoperative wounds. However, if there are complications or concerns about the wound or the client’s condition, the RN should oversee or handle the situation.
C. Frequent ambulation can be managed by assistive personnel (AP) under the supervision of the RN. This task typically involves supporting and assisting the client with walking, which is within the scope of AP duties. LPNs can also assist with ambulation, but it is generally a task appropriate for APs when performed as part of routine care.
D. A client in protective isolation requires careful attention to infection control practices to protect them from infections. While the RN is responsible for ensuring adherence to isolation protocols and assessing the client’s needs, the day-to-day care tasks might be managed by LPNs and APs, provided they are trained in infection control procedures.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","E"]
Explanation
A. This involves combining different pieces of information to form a new understanding or solution. Nurses often synthesize information from various sources to develop a comprehensive care plan.
B. This involves judging the value or worth of something. Nurses must constantly evaluate the effectiveness of interventions and patient outcomes.
C. This involves breaking down information into parts to understand its components. Nurses analyze patient data to identify problems and potential solutions.
D. While intuition can play a role in decision-making, it is not a reliable or consistent critical thinking skill. Critical thinking relies on evidence and reasoning, not solely on gut feelings.
E. This involves understanding the meaning of information. Nurses interpret patient cues, laboratory results, and other data to make informed decisions.
Correct Answer is B
Explanation
A. This ethical principle directly addresses the idea of doing no harm. It is a fundamental obligation of healthcare professionals to protect patients from injury.
B. While related to doing good, beneficence focuses on actively promoting the well-being of patients. While important, it doesn't specifically address the concept of avoiding harm.
C. Fidelity refers to faithfulness and keeping promises. It is important in building trust but doesn't directly address the prevention of harm.
D. Justice is about fairness and equality in healthcare. While important, it doesn't specifically address the prevention of harm to an individual patient.
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