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Which client would be best assigned to an RN and not an LPN?

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 anemia requiring a blood transfusion

A 34-year-old patient post knee arthroscopy who requires reinforced crutch walking

A 44-year-old patient admitted yesterday with pneumonia

Answer and Explanation

The Correct Answer is B

. A 78-year-old female with osteoporosis who needs assistance performing range of motion exercises and ambulating with a walker: LPNs are capable of assisting with range of motion exercises and ambulation.
B. A 78-year-old patient newly admitted with anemia requiring a blood transfusion: Blood transfusions require close monitoring for reactions and complications, which are within the RN’s scope of practice. This patient requires a higher level of assessment and decision-making skills.
C. A 34-year-old patient post knee arthroscopy who requires reinforced crutch walking: LPNs can assist with crutch walking education and reinforcement.
D. A 44-year-old patient admitted yesterday with pneumonia: LPNs can care for stable patients with pneumonia under the supervision of an RN. The patient's status should be stable or improved to be managed by an LPN.

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Correct Answer is C

Explanation

A. Cognitive: The cognitive domain involves knowledge and understanding, but readiness for learning pertains more to the affective domain.
B. Psychomotor: The psychomotor domain involves physical skills and coordination, not the client's readiness for learning.
C. Affective: The affective domain involves attitudes, feelings, and readiness to learn. The client's statement of readiness indicates a positive attitude and willingness to engage in learning.
D. Social: Social is not one of the primary learning domains recognized in education theory.

A. The nurse encourage autonomy by allowing the client time to wash their face and upper chest with the left arm B. The nurse performs range of motion exercises to the right arm C. The nurse recognizes due to cultural preferences a female should provide the bed bath D. The nurse performs all the tasks

Correct Answer is A

Explanation

A. The nurse encourages autonomy by allowing the client time to wash their face and upper chest with the left arm: The Self Care Model focuses on promoting independence and encouraging clients to do as much for themselves as possible. Allowing the client to perform tasks within their ability fosters autonomy and self-care.
B. The nurse performs range of motion exercises to the right arm: While beneficial, this does not directly promote the client's independence in self-care.
C. The nurse recognizes due to cultural preferences a female should provide the bed bath: This respects cultural preferences but does not relate directly to promoting self-care.
D. The nurse performs all the tasks: This does not encourage the client’s independence and is not aligned with the Self Care Model.

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Which client would be best assigned to an RN and not an LPN?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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