A charge nurse on a medical-surgical unit is making client assignments for the oncoming shift. Which of the following clients should the charge nurse assign to a licensed practical nurse (LPN)?

Correct Answer: A

Rationale: LPNs handle stable clients with routine procedures within their scope. Assigning a client with a prescribed indwelling urinary catheter irrigation to an LPN is fitting, as it's a technical task flushing per protocol manageable with training and RN supervision, common in medical-surgical settings. New IV insertion often requires RN skill per policy, a new stroke demands RN assessment for evolving deficits, and care plan updates involve RN planning. Catheter irrigation leverages LPN capabilities, ensuring efficient shift assignments, maintaining client comfort (e.g., preventing obstruction), and adhering to scope-of-practice guidelines, optimizing care delivery.

Correct Answer: B

Rationale: Speech recognition (SR) systems require clear, structured speech for accurate transcription, which is challenging in crisis situations where rapid, fragmented, or stressed communication dominates. In emergencies, nurses focus on quick assessments and procedures, often speaking tersely or under pressure conditions unlikely to produce the calm, deliberate input SR needs to function reliably. This mismatch makes SR impractical, as errors in transcription could compromise documentation and patient safety. Availability outside pilot projects varies, but feasibility, not access, is the issue. Hands-free functionality exists, though imperfect, and wireless reliability is a separate concern. The speech pattern mismatch in high-stress settings is the primary barrier here.

Correct Answer: B

Rationale: Clostridium difficile, a spore-forming bacterium, demands strict contact precautions due to its resilience and fecal-oral transmission risk. Wearing a protective gown and gloves when providing care is essential, as it creates a barrier against spores on surfaces or skin, preventing spread to the nurse, other clients, or the environment. Alcohol-based sanitizers don't kill C. difficile spores soap and water are required making that option ineffective. Limiting gloves increases contamination risk, contradicting infection control principles, while a semi-private room exposes roommates, violating isolation protocols for this pathogen. Gown and gloves align with CDC guidelines, ensuring safety by minimizing cross-contamination, critical in a hospital where vulnerable clients abound, and reinforcing the nurse's role in breaking the transmission chain effectively.

Correct Answer: A

Rationale: For compression stockings in CVI, reduced leg swelling shows efficacy, not warmer skin, nail growth, or pressure (a goal, not outcome). Stockings boost circulation less edema means better flow, unlike unrelated signs. Leadership monitors this imagine less heaviness; it confirms action, aligning with vascular care effectively. This reflects nursing's focus on therapeutic outcomes.

Correct Answer: A

Rationale: Hypertension management often includes the DASH diet, recommending sodium limits typically 2,300 mg/day, ideally 1,500-2,000 mg for better control. I should limit my sodium intake to 2,000 mg per day' shows the client grasps this, reflecting awareness that excess sodium (e.g., processed foods) raises blood pressure, a key modifiable factor. Unlimited salt contradicts evidence, risking fluid retention and pressure spikes. Avoiding fruits and vegetables ignores their potassium benefits, lowering pressure, while more saturated fat worsens cardiovascular risk, not helping hypertension. The sodium limit statement confirms effective teaching, empowering the client to adopt a practical, evidence-based change, critical for reducing strain on the heart and preventing complications.

Correct Answer: B

Rationale: For glipizide in type 2, take 30 minutes before meals, not hypo, fridge, or sugar. Pre-meal boosts insulin release hypo's possible, storage is room temp, sugar's counter. Leadership teaches this imagine control; it ensures efficacy, aligning with diabetes care effectively.

Correct Answer: D

Rationale: Self-awareness ties to spindle neurons , not A/B (repeated), or C. Nurse leaders like mindfulness rely on this, contrasting with unawareness. In healthcare, it enhances judgment, aligning leadership with neuroscience.

Correct Answer: A

Rationale: GERD involves acid reflux, worsened by trigger foods like chocolate, which relaxes the lower esophageal sphincter (LES), increasing nighttime symptoms common with lying down. I should avoid eating chocolate before bed' shows the client grasps this, aiming to reduce reflux by timing and avoidance, aligning with GERD management to elevate LES pressure. Coffee with meals stimulates acid, large meals pre-sleep distend the stomach, and citrus fruits irritate anytime all exacerbating GERD. Avoiding chocolate reflects effective teaching, empowering symptom control, reducing esophagitis risk, and supporting lifestyle changes critical for a new diagnosis.

Correct Answer: A

Rationale: In suspected hypokalemia, muscle weakness supports it, not peaked waves, hyperactive bowels, or pulses. Low potassium impairs strength waves are hyper, bowels vary, pulses unrelated. Leadership notes this imagine fatigue; it guides replacement, aligning with electrolyte care effectively.