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 B
Explanation
Choice A rationale
Contacting the patient’s family for approval before resuscitation is not appropriate when there is a Do Not Resuscitate (DNR) order. A DNR order is a legal document that indicates the patient’s wish not to undergo resuscitation in the event of cardiac or respiratory arrest.
Healthcare providers must respect this order and not seek additional approval from family members.
Choice B rationale
Respecting the order and refraining from initiating resuscitation is the correct action when there is a DNR order. This legal document reflects the patient’s decision to forgo resuscitation efforts, and healthcare providers are obligated to honor this decision to respect the patient’s autonomy and wishes.
Choice C rationale
Ignoring the order and proceeding with resuscitation is a violation of the patient’s rights and wishes. A DNR order must be followed to ensure that the patient’s preferences are respected, and disregarding it can lead to legal and ethical consequences.
Choice D rationale
Implementing the order only if the patient is in the ICU is incorrect. A DNR order applies in all healthcare settings, not just the ICU. Healthcare providers must follow the DNR order regardless of the patient’s location within the healthcare facility.
Correct Answer is ["B","C","D"]
Explanation
The correct answers are Choices B, C, and D.
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