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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. The client states that she will be staying with her daughter after discharge: Staying with her daughter could potentially be a support system, not a barrier to learning.
B. Client states she is having pain: Pain can significantly impair a client's ability to focus and understand new information, making it a potential barrier to learning.
C. The client states she uses a pill container to divide her daily medication: Using a pill container indicates that the client has a system in place for managing medications and is not a barrier to learning.
D. The client states her pharmacy also provides information on the medication: Having access to additional information from the pharmacy is an aid to learning, not a barrier.
Correct Answer is D
Explanation
A. Tell the client they are wrong: Telling the client they are wrong is dismissive and does not foster a therapeutic relationship.
B. Ask the client why they think that way: Asking the client why they think that way may provide insight, but it does not clarify the difference between an allergy and an intolerance.
C. Ignore the comment and proceed with the teaching plan: Ignoring the comment is not appropriate as it fails to address the client’s concern and provide necessary education.
D. Explain to the client the difference between medication intolerance and allergy: This response provides education and clarifies the difference, helping the client understand their reaction to the medication.
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