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 A

Explanation

A. This aligns with the "D" in IDEAL, which is to develop a discharge plan. The client's goals should be a central part of this plan.
B. While the discharge process is important, it's more about the steps involved in the discharge rather than a key area to discuss with the client.
C. While family input is valuable, the focus should be on the client's needs and goals.
D. Test results are important information for the client, but they are not one of the five key areas of the IDEAL toolkit.

A. Social relationships between nurses working the oncoming shift B. The most experienced nurse receives the more complex clients C. The physiologic status of the clients on the unit D. Personal comfort level in making the assignments

Correct Answer is C

Explanation

A. While considering staff morale is important, it should not be the primary factor in making patient assignments. The focus should be on patient safety and care needs.

B. While experience is a valuable asset, it's not always fair or practical to assign the most complex patients to one nurse. It's essential to consider the overall workload and skill mix of the nursing staff.
C. This is the most crucial factor in making patient assignments. Patients with unstable conditions or complex care requirements should be assigned to nurses with the appropriate skills and experience.
D. The charge nurse's personal comfort should not influence patient assignments. The primary goal is to ensure safe and effective patient care.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing a discharge plan for a client using the IDEAL toolkit. Which of the following does the toolkit identify as one of the five key areas that nurse should discuss with the client?

Correct Answer is A

Explanation

A charge nurse is making assignments for nursing personnel who will be caring for clients during the oncoming shift. Which of the following factors should the charge nurse consider?

Correct Answer is C

Explanation

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