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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Primary prevention: Primary prevention involves measures taken to prevent diseases or injuries before they occur, such as vaccinations or health education to prevent onset of illness. Teaching blood sugar monitoring to someone with diabetes is not primary prevention.
B. Tertiary prevention: Tertiary prevention involves managing disease post-diagnosis to slow or stop disease progression. Teaching a diabetic patient to monitor their blood sugar helps manage their existing condition and prevent complications, making it tertiary prevention.
C. Secondary prevention: Secondary prevention includes screening and early detection of disease to halt or slow its progress. Monitoring blood sugar levels in a diabetic patient is not about early detection but managing an existing condition.
D. Disease surveillance: Disease surveillance involves continuous, systematic collection, analysis, and interpretation of health data. This is not what the nurse is doing when teaching a client to monitor their blood sugar.
Correct Answer is A
Explanation
A. The nurse determines the client’s readiness to learn: Assessing the client's readiness to learn is part of the assessment phase of the teaching plan. It involves evaluating the client’s emotional and cognitive state to ensure they are prepared to absorb new information.
B. The nurse discusses types of food that the client needs to avoid: This is part of the teaching or implementation phase, not the assessment phase.
C. The nurse describes which supplies would be needed: Describing necessary supplies is also part of the teaching or implementation phase.
D. Ask the client to demonstrate emptying of the colostomy bag: This is part of the evaluation phase, where the nurse assesses the client’s ability to perform the task taught.
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