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Which duty can be assigned to the LPN? A. Performing tracheostomy suctioning on a client with a permanent trach B. Administering total parenteral nutrition to a client with cancer C. Obtaining initial vital signs on a client receiving a blood transfusion D. Performing discharge teaching for a client with diabetes mellitus

Short Answer

Expert verified
A. Performing tracheostomy suctioning on a client with a permanent trach B. Administering total parenteral nutrition to a client with cancer C. Obtaining initial vital signs on a client receiving a blood transfusion D. Performing discharge teaching for a client with diabetes mellitus

Step by step solution

01

Understanding LPN's Scope of Practice

LPNs, also known as Licensed Vocational Nurses (LVNs) in some states, are nursing professionals who have completed an accredited practical nursing program and passed the National Council Licensure Examination for Practical Nurses (NCLEX-PN). LPNs work under the supervision of a Registered Nurse (RN) and are generally responsible for providing basic nursing care to patients. The tasks they can perform vary depending on state regulations, but they generally include duties such as: - Monitoring patients' vital signs - Administering medications (except for certain intravenous medications) - Providing basic wound care - Assisting with activities of daily living (bathing, dressing, etc.) - Collecting lab samples and performing routine tests
02

Evaluating each option

Now that we know the general scope of an LPN's practice, let's look at each option and determine if it falls within that scope: A. Performing tracheostomy suctioning on a client with a permanent trach This task involves a high level of skill and specialized training that goes beyond the basic nursing care provided by an LPN. This task should be handled by an RN. B. Administering total parenteral nutrition to a client with cancer Total parenteral nutrition (TPN) is a specialized form of intravenous nutrition, which is typically outside the scope of practice for an LPN. This task should also be handled by an RN. C. Obtaining initial vital signs on a client receiving a blood transfusion This task falls within the basic nursing care that an LPN is trained to provide. An LPN can monitor vital signs and report any abnormalities to a supervising RN. D. Performing discharge teaching for a client with diabetes mellitus Discharge teaching usually involves providing comprehensive patient education, such as managing chronic conditions and medication administration, which typically falls within the RN's scope of practice. An LPN might assist with certain aspects of discharge teaching, but overall responsibility lies with the RN.
03

Conclusion

Based on our evaluation of each option, the duty that can be assigned to the LPN is: C. Obtaining initial vital signs on a client receiving a blood transfusion.

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Key Concepts

These are the key concepts you need to understand to accurately answer the question.

Nursing Skills Assessment
Nursing Skills Assessment plays a crucial role in determining the capabilities and competency of Licensed Practical Nurses (LPNs) when performing various duties. This process ensures that LPNs can deliver safe and effective patient care. It involves evaluating different aspects of nursing practice, such as the knowledge and application of nursing principles, problem-solving abilities, and the execution of technical skills. Skills assessments may include practical examinations, where LPNs demonstrate their proficiency in tasks such as:
  • Monitoring vital signs accurately
  • Administering medications under supervision
  • Documenting patient information properly
  • Utilizing appropriate communication skills with patients and healthcare team members
These assessments ensure that LPNs are prepared to fulfill their role in various healthcare settings and meet the demands of patient care effectively.
Patient Care Responsibilities
Patient Care Responsibilities define the daily tasks LPNs undertake to ensure patients receive comprehensive and attentive healthcare. These responsibilities are vital to maintaining a safe and comfortable environment for patients.

LPNs provide basic nursing care under the supervision of a Registered Nurse (RN) or physician. Their responsibilities can include:
  • Assessing and recording vital signs like temperature, blood pressure, and pulse
  • Assisting patients with activities of daily living, such as bathing and feeding
  • Monitoring patients' health status and reporting any changes to the RN
  • Providing wound care and changing dressings
  • Ensuring medication is administered safely and correctly
  • Helping in collecting samples for lab tests
All these tasks play a significant role in supporting the healthcare team and ensuring the patient's overall well-being.
NCLEX-PN Preparation
Preparing for the National Council Licensure Examination for Practical Nurses (NCLEX-PN) is a crucial step for aspiring LPNs. This exam assesses the candidate's ability to apply knowledge in various clinical scenarios and is essential for obtaining licensure to practice as an LPN. Successful preparation for the NCLEX-PN involves understanding the test structure and content. The exam focuses on several key areas, including:
  • Safe and effective care environment
  • Health promotion and maintenance
  • Psychosocial integrity
  • Physiological integrity
Candidates should engage in comprehensive study sessions, using resources like practice tests, review courses, and study guides. Focusing on these areas ensures a broad knowledge base and improves the chances of passing the exam.

Additionally, effective test-taking strategies, such as time management and critical thinking skills, can significantly enhance exam performance. Thorough preparation enables nursing candidates to enter the profession confidently and competently.

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Most popular questions from this chapter

Four clients on a busy medical-surgical unit are requesting medication. Which client should receive medication first? A. A 34-year-old client with a fractured femur who requests pain medication B. A 48-year-old client with cirrhosis who requests medication for nausea C. A 55-year-old client with peptic ulcer disease who requests an antacid D. A 36-year-old with ulcerative colitis who requests medication for diarrhea

The nurse is caring for clients on an oncology unit. The supervisor calls to report a need to place two of the patients in the same room. Which of the following patient pairs is best? A. A postoperative laminectomy done to decrease spinal cord compression and a patient with a craniotomy due to lung cancer metastasis B. A patient with neutropenia and a patient receiving a blood transfusion C. A patient with pancreatic cancer and a patient with a white blood cell count of 200 D. A patient on high dose chemotherapy and a patient with prostate cancer who is receiving radiation by external beam

Which task is best delegated to the licensed practical nurse? A. Beginning an infusion of platelets B. Inserting a nasogastric tube C. Flushing a central venous catheter D. Administering intravenous dexamethasone (Decadron)

The nurse is preparing to administer four medications to the client with dysphagia. Which medication should be administered first? A. Conjugated estrogen (Premarin) B. Furosemide (Lasix) C. Ceclor (cephaclor) D. Diphenhydramine (Benadryl)

The nurse is caring for several clients on an orthopedic unit. If the following requests were made simultaneously, which should the nurse do first? A. A family member calls and requests to speak to the nurse about a patient. B. A client with a fractured femur complains of pleuritic pain and reports a rash on the chest and under the arms. C. A client with a fractured leg requests pain medications. D. A client with a cast reports itching within the cast.

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