Which client would be assigned to an RN and not an LPN?
A 5-year-old patient admitted yesterday with pneumonia.
A 78-year-old female with osteoporosis who needs assistance performing range of motion exercises and ambulating with a walker.
A 78-year-old patient newly admitted with congestive heart failure.
A 34-year-old patient post knee arthroscopy who requires reinforced crutch walking.
The Correct Answer is C
Choice A rationale
A 5-year-old patient admitted yesterday with pneumonia may require frequent assessments and interventions that are within the scope of practice for an LPN. However, the complexity of care for a newly admitted patient with a potentially unstable condition may be better suited for an RN.
Choice B rationale
A 78-year-old female with osteoporosis who needs assistance performing range of motion exercises and ambulating with a walker can be managed by an LPN. These tasks are within the LPN’s scope of practice and do not require the higher level of assessment and decision-making skills of an RN.
Choice C rationale
A 78-year-old patient newly admitted with congestive heart failure requires complex assessments, monitoring, and interventions that are within the scope of practice for an RN. The RN’s advanced skills and knowledge are necessary to manage the patient’s condition effectively.
Choice D rationale
A 34-year-old patient post knee arthroscopy who requires reinforced crutch walking can be managed by an LPN. These tasks are within the LPN’s scope of practice and do not require the higher level of assessment and decision-making skills of an RN.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Pharmacists are healthcare professionals who specialize in the preparation and dispensing of medications. While they have extensive knowledge about drugs and their interactions, they are not typically responsible for providing dietary or nutrition education to clients with diabetes.
Their primary role is to ensure that patients receive the correct medications and understand how to take them properly.
Choice B rationale
Radiologic technologists are trained to perform diagnostic imaging examinations, such as X- rays, MRI scans, and CT scans. They do not have the expertise or training to provide dietary or nutrition education to clients with diabetes. Their focus is on capturing accurate images to assist in the diagnosis and treatment of medical conditions.
Choice C rationale
Respiratory therapists specialize in the assessment and treatment of patients with breathing or cardiopulmonary disorders. They are skilled in providing respiratory care, such as administering oxygen therapy and managing ventilators. However, they do not have the training or expertise to provide dietary or nutrition education to clients with diabetes.
Choice D rationale
Registered dietitians are healthcare professionals who specialize in nutrition and dietary management. They are trained to provide individualized dietary education and counseling to clients with various medical conditions, including diabetes. Registered dietitians can help clients understand how to manage their blood glucose levels through proper nutrition and meal planning, making them the most appropriate choice for providing dietary or nutrition education to clients with diabetes.
Correct Answer is C
Explanation
Choice A rationale
Providing all information at once to ensure understanding is not an effective teaching strategy, especially for clients newly diagnosed with diabetes. This approach can overwhelm the client and make it difficult for them to retain and comprehend the information. Effective teaching involves breaking down the information into manageable segments and reinforcing key concepts over time.
Choice B rationale
Avoiding repetition to prevent boredom is not an effective teaching strategy. Repetition is essential for reinforcing important concepts and ensuring that the client fully understands the information. Repetition helps to reinforce learning and improve retention, especially for complex topics such as diabetes management.
Choice C rationale
Tailoring teaching strategies to the client’s learning style is the most effective approach for teaching clients newly diagnosed with diabetes. Each client has a unique learning style, and adapting the teaching methods to match their preferences can enhance understanding and retention. This personalized approach ensures that the client receives the information in a way that is most meaningful and effective for them.
Choice D rationale
Using medical terminology to enhance credibility is not an effective teaching strategy for clients newly diagnosed with diabetes. Medical jargon can be confusing and intimidating for clients, making it difficult for them to understand the information. It is important to use clear, simple language that the client can easily comprehend.
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