At the beginning of the shift, an RN is preparing assignments for a licensed practical nurse (LPN) and an assistive personnel (AP). Which of the following tasks should the nurse assign to the LPN?

Measuring a client's I & O

Providing postmortem care for a client

Obtaining a client's weight

Inserting a nasogastric tube for a client

Answer and Explanation

The Correct Answer is D

A.   The role of the AP includes tasks like recording the amount of fluids the client consumes and produces (urine, emesis, etc.), but it does not require specialized nursing knowledge.
B.   Postmortem care involves preparing the body after death for the family or transfer to the morgue. This task can be performed by an AP.
C.   While this task can be delegated to both LPNs and APs, it is often considered a basic task that can be assigned to the AP to free up the LPN for more complex patient care responsibilities.
D.   Inserting an NG tube is a skill that LPNs are trained to perform, and it is within their scope of practice in many states and healthcare settings, provided they have received the appropriate training and certification.

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Correct Answer is B

Explanation

A. A positive-pressure airflow room is designed to keep potentially contaminated air from entering the room, making it suitable for immunocompromised patients who need protection from airborne pathogens. However, for a client with symptoms suggestive of tuberculosis (TB), such as a productive cough and a positive Mantoux test, a positive-pressure room is not appropriate.
B. A negative-pressure airflow room is specifically designed to contain airborne pathogens within the room and prevent their spread to other areas. This is the appropriate type of room for a client with symptoms indicative of TB, as it helps to ensure that any infectious particles are not dispersed into the general environment.
C. A semi-private, positive-pressure airflow room is not suitable for a patient with a suspected infectious disease like TB. The positive pressure could potentially allow airborne pathogens to escape from the room, which poses a risk to others. This type of room is generally used for patients who need protection from external pathogens rather than those who may be spreading infection.
D. While a negative-pressure room is appropriate for controlling airborne pathogens, a semi-private room may not be suitable for a patient with a suspected infectious disease like TB. TB patients should ideally be placed in a private room to avoid potential exposure to other patients, as semi-private rooms could still allow for transmission of airborne diseases between patients.

A. A school-age child who has diabetes mellitus and requires blood glucose monitoring B. An adolescent who was admitted to the unit in sickle cell crisis and is ready for discharge instructions C. A toddler who has both arms in casts and needs to be fed his breakfast D. An infant who has pertussis and is receiving oxygen via nasal cannula

Correct Answer is D

Explanation

A. Monitoring blood glucose is crucial for managing diabetes, as it directly affects the child's blood sugar levels and overall well-being. However, if the child’s blood glucose levels are stable and there are no immediate concerns or symptoms, this task, while important, may not be as urgent as assessing more critically ill clients.
B. While discharge instructions are important for ensuring proper care after leaving the hospital, this task generally does not require immediate attention compared to assessing a client with more acute or urgent needs. The adolescent is ready for discharge, indicating their condition is stable enough to prepare for leaving the unit.
C. Feeding a toddler who has both arms in casts is important for ensuring that the child is well-nourished and comfortable. However, this task can usually be managed by assistive personnel or done at a scheduled time without immediate urgency compared to more critical assessments.
D. An infant with pertussis (whooping cough) receiving oxygen via nasal cannula is in a potentially critical situation. Pertussis can cause significant respiratory distress, and the need for oxygen indicates the
infant’s respiratory function is compromised. Assessing this infant first is crucial to ensure that the oxygen therapy is effective and to monitor for any signs of deterioration in respiratory status.

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At the beginning of the shift, an RN is preparing assignments for a licensed practical nurse (LPN) and an assistive personnel (AP). Which of the following tasks should the nurse assign to the LPN?

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Correct Answer is B

Explanation

A nurse on a pediatric unit is reviewing her client assignment following the shift report. Which of the following clients should the nurse plan to assess first?

Correct Answer is D

Explanation

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