Page 70 - Saunders Comprehensive Review For NCLEX-RN

Answer

RN Assignment LPN Assignment AP Assignment
A client requiring a platelet A client requiring a colostomy irrigation. A client who requires frequent
transfusion. ambulation and has a steady gait.
A client with respiratory failure A client receiving continuous tube feedings. A client who requires a bed bath and
on a mechanical ventilator. range-of-motion exercises.
A client requiring abdominal wound A client who requires hourly pulse
irrigations and dressing changes every 3 and blood pressure measurements.
hours.

The nurse must determine the most appropriate assignment based on the education
and skills of the health care provider and the needs of the client. In general,
noninvasive interventions, such as skin care, range-of-motion exercises, ambulation,
grooming, and hygiene measures, can be assigned to the AP. In general, a LPN or
vocational nurse (VN) can perform not only the tasks that a AP can perform but also
certain invasive tasks, such as dressing changes, wound irrigations, tube feedings,
colostomy irrigations, suctioning, urinary catheterization, and medication
administration (oral, subcutaneous, intramuscular, and selected piggyback
medications), according to the education and job description of the LPN or VN. The
LPN or VN can also review with the client teaching plans that were initiated by the
registered nurse. A registered nurse can perform the tasks that an LPN or VN can
perform and is responsible for assessment and planning care, initiating teaching,
and administering medications intravenously.

Highlighting Items

These items present data pertinent to a client case, and asks the student to highlight
the information that requires follow-up. See Box 1-15 for an example.

Box 1-15
NGN Item: Highlighting Item
The nurse is assessing a male client admitted 1 day ago for newly diagnosed type
2 diabetes mellitus. Clinical findings are noted below.

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