Timbys-fundamental-nursing-skills-and-concepts-12th-edition-answers-and-rationales-for-end-of-chapter-nclex-style-review-questions-attachments-area -PNG

1 Timby’s Fundamental Nursing Skills and Concepts, 12th edition Answers and Rationales for End-of-Chapter NCLEX-Style Review Questions Chapter 1 Test-Taking Strategy: Note the key word “first.” Apply principles concerning delegation to select an answer. 1. Answer: 3. Rationale: Whenever delegating a task, it is essential to determine the competency of the person who is being assigned to the delegated task. Although all of the other actions are important to perform, ensuring that the delegated task can be performed accurately is most important. Cognitive Level: Apply Category of Client Needs: Safe and Effective Care Environment Client Needs Subcategory: Coordinated Care Test-Taking Strategy: Note the key word “first.” Apply principles concerning delegation to select an answer. 2. Answer: 2. Rationale: The LPN’s priority is Client B, who is potentially the most unstable. After determining that Client B is recovering safely postoperatively, the LPN can attend to the needs of the other assigned clients. Cognitive Level: Analyze Category of Client Needs: Safe and Effective Care Environment 2 Client Needs Subcategory: Coordinated Care Test-Taking Strategy: Note the key word and modifier “most important.” Select the option that reflects the most pertinent data about the client’s current condition. 3. Answer: 4. Rationale: When obtaining a report on a postoperative client, an LPN should expect to be told the client’s most recent blood pressure, an indication of the client’s recovery status. The client’s age and occupation are facts the LPN may wish to know, but they are not essential to the forthcoming plan for care. Whether or not the client consumed food is helpful, but it is not the most important information the LPN needs to know at this time. Cognitive Level: Analyze Category of Client Needs: Physiological Integrity Client Needs Subcategory: Reduction of Risk Potential Test-Taking Strategy: Note the key word and modifier “most important.” Recall that the person who delegates a task is still ultimately responsible for it. 4. Answer: 1. Rationale: Whenever a task is delegated, the delegator is responsible for ensuring that the task is performed and determining the outcome. The LPN may choose to recheck the client’s blood pressure to validate its accuracy, if the reported blood pressure is unusual. Teaching the client about controlling blood pressure and assessing the client’s family history for heart disease are important aspects of client care, but neither is the most important action at this time.