Case Study
A nurse is planning care for four clients. Which of the following tasks should the nurse
delegate to a licensed practical nurse (LPN)? - Answer Perform a wet-to-dry dressing
change for a client who has a pressure ulcer.
Providing physical care to clients, such as dressing changes, is within the scope of
practice for an LPN; therefore, the RN should delegate this task to the LPN.
A nurse in a rehabilitation facility is performing the role of a case manager for a group of
clients. Which of the following actions should the nurse take? - Answer Ensure clients
receive optimal care in a cost-effective manner.
The responsibility of the case manager is to ensure clients receive optimal care in a
cost-effective manner. A nurse often fulfills the role of case manager.
A nurse is managing the care for a client who has recent unexplained weight loss and a
low serum albumin level. Which of the following members of the interprofessional care
team should the nurse consult? - Answer Registered dietitian
The nurse should consult a registered dietitian who will design a therapeutic diet, which
will provide the client with needed nutrition to correct weight and protein loss.
A nurse is planning care for a client who has residual effects from an ischemic stroke.
Which of the following interprofessional consults should the nurse require first? -
Answer Speech-language pathologist
The greater risk to the client is injury from aspiration; therefore, the nurse should first
request a consult for a speech-language pathologist.
A nurse is receiving change-of-shift report for a group of clients. Which of the following
clients should the nurse attend to first? - Answer A client who has received nitroglycerin
sublingual for chest pain and requires a 12-lead EKG
The first action the nurse should take when using the airway, breathing, circulation
approach to client care is to obtain a 12-lead EKG for the client who is experiencing
chest pain.