The nurse is preparing a teaching plan for a client who is learning to use the incentive spirometer. The nurse identifies the following action as part of the evaluation step in the teaching plan.

Assess the clients pain level

Ask the client to demonstrate use of the incentive spirometer

Develop a short-term goal for the client

Provide instructions on how to use the incentive spirometer

Answer and Explanation

The Correct Answer is B

A. Assess the client's pain level: Assessing the client's pain level is part of the assessment step, not the evaluation step.
B. Ask the client to demonstrate use of the incentive spirometer: Asking the client to demonstrate use of the incentive spirometer is a way to evaluate whether the client has understood and can perform the skill.
C. Develop a short-term goal for the client: Developing a short-term goal is part of the planning step, not the evaluation step.
D. Provide instructions on how to use the incentive spirometer: Providing instructions is part of the implementation step, not the evaluation step.

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Correct Answer is ["B","C","E"]

Explanation

A. Administering blood to a client. Administering blood typically requires an RN due to the need for close monitoring and potential complications.
B. Re-enforces teaching to a diabetic client. LPNs can reinforce teaching that was initially provided by an RN.
C. Administering medications to the RN's other clients. LPNs are qualified to administer medications.
D. Completing an initial assessment on a new admission. Initial assessments must be completed by an RN
E. Changing a sterile dressing on a client. LPNs can perform sterile dressing changes.

A. change a sterile dressing B. Ambulate a stable client to the bathroom C. take vital signs for the unit D. Provide morning care to a client E. Give the discharge instructions to a client going home

Correct Answer is ["B","C","D"]

Explanation

A. change a sterile dressing: Changing a sterile dressing is a complex task that requires the skills and knowledge of an RN or LPN, not a CNA.
B. Ambulate a stable client to the bathroom: Ambulating a stable client is within the scope of practice for a CNA and can be delegated.
C. take vital signs for the unit: Taking vital signs is a common task for CNAs and can be delegated.
D. Provide morning care to a client: Providing morning care (such as bathing, grooming) is within the scope of practice for a CNA and can be delegated.
E. Give the discharge instructions to a client going home: Giving discharge instructions requires the assessment and judgment of an RN and cannot be delegated to a CNA.

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The nurse is preparing a teaching plan for a client who is learning to use the incentive spirometer. The nurse identifies the following action as part of the evaluation step in the teaching plan.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An RN has a critical client that needs constant monitoring. However, the RN also has other clients in need of care. Which tasks below could the RN delegate to the LPN to help continue the process of client care? Select three items

Correct Answer is ["B","C","E"]

Explanation

An RN has a critical client that needs constant monitoring. However, the RN also has other clients in need of care. Which tasks below could the RN delegate to the CNA to help continue the process of client care? (select all that apply) (3)

Correct Answer is ["B","C","D"]

Explanation

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