Medical surgical nursing Assessment and management of clinical problem

1.1.ID: 0A registered nurse (RN) on the 7 a.m.–3 p.m. shift is planning client assignments for the day. Which clients would be appropriate for the RN to assign to the licensed practical nurse (LPN)?Select all that apply.A.A client who had a mastectomy 2 days agoCorrectB.A client with type 1 diabetes mellitus who has a foot ulcerCorrectC.A client with left­side weakness who will need assistance with personal careCorrectD.A newly admitted client with chronic obstructive pulmonary disease (COPD)E.A client being transferred in from the intensive care unit with a deep vein thrombosis and a heparin dripRationale:When a nurse delegates aspects of a client’s care to another staff member, the nurse assigning the task is responsible for ensuring that each task is appropriately assigned on the basis of the educational level and competency of the staff member. The client with COPD who was admitted during the night will need close monitoring of the respiratory status. An LPN may not administer most high­risk intravenous medications, including heparin. The client who has had a mastectomy and the client with a foot ulcer will likely require dressing changes, an activity that is within the scope of practice of the LPN. The client with left­side weakness requiring personal care assistance could also be assigned to the LPN.Test­Taking Strategy:Use the process of elimination, focusing on the subject, assignment to the LPN. Recalling that an LPN may not administer high­risk intravenous medications will assist you in eliminating this option. Eliminate the newly admitted client with COPD, noting that this client will require a higher level of monitoring. Review the principles of delegating tasks if you had difficulty with this question.Level of Cognitive Ability:ApplyingClient Needs:Safe and Effective Care EnvironmentIntegrated Process:Nursing Process/PlanningContent Area:Delegating/PrioritizingGiddens Concepts:Care Coordination, SafetyHESI Concepts:Collaboration/Managing Care – Care Coordination, SafetyReference:Zerwekh, J., & Zerwekh, A. (2015).Nursing today: Transition and trends(8th ed., pp. 305, 308). St. Louis: ElsevierAwarded 3.0 points out of 3.0 possible points.2.2.ID: 1A home care nurse is assigned to visit a prenatal client with a diagnosis of hyperemesis gravidarum (HEG). During physical assessment of the client, the nurse shouldfirst:A.Weigh the clientIncorrect