Which patient below is best assigned to the LPN?

A 55-year-old male patient who post MI ready for discharge, requiring discharge instruction

A newly admitted patient with a seizure disorder.

A 40-year-old female 1-day post hysterectomy

A 30-year-old male patient with active GI bleeding that requires multiple blood transfusions.

Answer and Explanation

The Correct Answer is C

A. A 55-year-old male patient who post MI ready for discharge, requiring discharge instruction: Discharge instructions require comprehensive teaching and assessment, which are more appropriate for an RN.
B. A newly admitted patient with a seizure disorder: This patient requires thorough assessment and development of a care plan, which is best managed by an RN.
C. A 40-year-old female 1-day post hysterectomy: This patient is in a relatively stable condition and requires routine postoperative care, which is within the scope of practice for an LPN.

D. A 30-year-old male patient with active GI bleeding that requires multiple blood transfusions: This patient is unstable and requires close monitoring and frequent reassessment, which are responsibilities for an RN.

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Correct Answer is A

Explanation

A. Assessment: Assessment involves collecting data about the client's condition. Noting the heart rate before administering medication is part of the assessment.
B. Analysis: Analysis involves interpreting the collected data to make decisions about the client's care. While the nurse is analyzing the data (the heart rate), this step follows the initial assessment.
C. Planning: Planning involves setting goals and deciding on interventions based on the assessment and analysis. Holding the medication could be considered part of planning but comes after assessing the heart rate.
D. Evaluation: Evaluation involves determining the effectiveness of interventions. This is not applicable in this situation.

A. A 78-year-old female with osteoporosis who needs assistance performing range of motion exercises and ambulating with a walker. B. A 78-year-old patient newly admitted with anemia requiring a blood transfusion C. A 34-year-old patient post knee arthroscopy who requires reinforced crutch walking D. A 44-year-old patient admitted yesterday with pneumonia

Correct Answer is B

Explanation

. 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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Which patient below is best assigned to the LPN?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Prior to administration of an antihypertensive medication, the nurse notes the client's heart rate is 50. The nurse then determines the blood pressure medication should be held. Which part of the nursing process is being fulfilled?

Correct Answer is A

Explanation

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

Correct Answer is B

Explanation

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