The RN is creating assignments for the day. The team includes RNs, LPNs, and Nurse Aides.
Which patient is most suitable to assign to the LPN?
A 67-year-old male who requires discharge teaching.
A 24-year-old female who requires a sterile dressing change.
A 94-year-old male who requires a bed bath and linen change.
A 76-year-old patient complaining of new onset dizziness.
The Correct Answer is B
Choice A rationale
Discharge teaching is typically a responsibility of the RN, as it often involves complex instructions and patient education.
Choice B rationale
LPNs are skilled in many technical tasks, including sterile dressing changes. This task is within the LPN’s scope of practice and does not require the advanced assessment skills of an RN56.
Choice C rationale
A bed bath and linen change are tasks that can be competently performed by Nurse Aides.
Choice D rationale
A patient complaining of new onset dizziness should be assigned to an RN. This symptom could indicate a serious condition that requires advanced assessment and critical thinking skills.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Unfreezing is the first stage of Lewin’s Change Theory. It involves overcoming resistance to change and preparing for the upcoming change. In this case, the patient expressing interest in quitting smoking and asking about smoking cessation aids indicates that they are in the unfreezing stage.
Choice B rationale
Moving is the second stage of Lewin’s Change Theory. It involves taking the necessary steps towards change.
Choice C rationale
The term “Action” is not recognized as a stage in Lewin’s Change Theory.
Choice D rationale
Refreezing is the final stage of Lewin’s Change Theory. It involves establishing the change as a new habit, so it becomes the "norm"4.
Correct Answer is D
Explanation
Choice A rationale
Respiratory acidosis is characterized by a pH less than 7.35 and a PaCO2 greater than 454. In this case, the pH is 7.43, which is within the normal range, and the PaCO2 is 46, which is slightly above the normal range. Therefore, this does not indicate respiratory acidosis.
Choice B rationale
Respiratory alkalosis is characterized by a pH greater than 7.45 and a PaCO2 less than 354. In this case, the pH is 7.43, which is within the normal range, and the PaCO2 is 46, which is slightly above the normal range. Therefore, this does not indicate respiratory alkalosis.
Choice C rationale
Metabolic acidosis is characterized by a pH less than 7.35 and a HCO3 less than 224. In this case, the pH is 7.43, which is within the normal range, and the HCO3 is 35, which is above the normal range. Therefore, this does not indicate metabolic acidosis.
Choice D rationale
Metabolic alkalosis is characterized by a pH greater than 7.45 and a HCO3 greater than 264. In this case, the pH is 7.43, which is within the normal range, and the HCO3 is 35, which is above the normal range. Therefore, this indicates metabolic alkalosis.
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