The nurse is preparing the client assignments for the day to a licensed practical nurse (LPN) and an unlicensed assistive personnel (UAP). Which client should the nurse assign to the LPN? (Select all that apply)

A client requiring reinforcement of teaching about a diabetic diet

A client requiring routine dressing changes

A client requiring intravenous medication administration

A client requiring a bath

A client who requires ambulation assistance

Answer and Explanation

Correct Answer : A,B,C

Choice A reason: LPNs can reinforce teaching that has already been provided by an RN. They can help clarify and reinforce the diabetic diet plan to the client.

Choice B reason: Routine dressing changes are within the scope of practice for LPNs. They can provide this care effectively.

Choice C reason: LPNs are qualified to administer intravenous medications. This is within their scope of practice and ensures that clients receive their medications timely.

Choice D reason: Providing a bath is typically assigned to UAPs. This task does not require the clinical judgment and skills of an LPN.

Choice E reason: Assisting with ambulation is typically assigned to UAPs. This task does not require the clinical judgment and skills of an LPN.

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Correct Answer is A

Explanation

Choice A reason: Administering an antipyretic to reduce the fever and notifying the primary health care provider are the priority actions. A rapid rise in temperature in a client with multiple myeloma receiving chemotherapy could indicate a serious infection, which requires prompt medical attention.

Choice B reason: Assessing the color and content of the urine specimen for urinalysis is important but is not the immediate priority. The rapid rise in temperature is a more urgent concern.

Choice C reason: Noting the consistency of respiratory secretions and obtaining a specimen for culture is important but not the immediate priority. The primary concern is addressing the fever and notifying the healthcare provider.

Choice D reason: Comparing prior vital signs and continuing to monitor every hour is necessary but not the immediate priority. Immediate action is required to address the fever and potential infection.

A. An expected side effect of the medication B. An allergic reaction to the nitroglycerin C. A sign that the medication should not be used again D. An indication of worsening cardiac condition

Correct Answer is A

Explanation

Choice A reason: A headache is a common and expected side effect of nitroglycerin. Nitroglycerin causes vasodilation, which can lead to increased blood flow to the head and result in headaches. It is important to inform the client that this is a known side effect and to manage it with appropriate measures, such as taking analgesics.

Choice B reason: An allergic reaction to nitroglycerin would typically present with symptoms such as rash, itching, swelling, or difficulty breathing. A headache alone does not indicate an allergic reaction.

Choice C reason: A headache does not mean the medication should not be used again. It is a common side effect, and the benefits of nitroglycerin in relieving chest pain usually outweigh the discomfort of the headache. The nurse should educate the client on managing the headache while continuing the medication.

Choice D reason: A headache is not an indication of a worsening cardiac condition. It is a common side effect of the vasodilatory effects of nitroglycerin.

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The nurse is preparing the client assignments for the day to a licensed practical nurse (LPN) and an unlicensed assistive personnel (UAP). Which client should the nurse assign to the LPN? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with multiple myeloma receiving chemotherapy has a temperature of 102.2 degrees Fahrenheit. The temperature was 99.2 degrees Fahrenheit six hours ago. The PRIORITY nursing intervention is to:

Correct Answer is A

Explanation

A client newly diagnosed with angina pectoris has taken two sublingual nitroglycerin tablets for chest pain. The chest pain is relieved, but the client now reports a headache. The nurse interprets that this most likely represents which response?

Correct Answer is A

Explanation

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