Care for which of these clients is most appropriate to assign to the LPN/LVN, under the supervision of an RN?

Correct Answer: D

Rationale: The correct answer is D because the LPN/LVN can provide care for a client with intractable nausea and vomiting related to chemotherapy under the supervision of an RN. The LPN/LVN can administer prescribed antiemetic medications, monitor the client's response, assess for dehydration, and provide comfort measures. This task falls within the scope of practice for an LPN/LVN and does not require the advanced assessment and intervention skills of an RN. Choice A is incorrect because a client undergoing a glossectomy for oral cancer requires complex post-operative care that is beyond the scope of practice for an LPN/LVN. Choice B is incorrect because post-operative care for an obese client following a vertical banded gastroplasty involves monitoring for complications such as leaks or infections, which require the expertise of an RN. Choice C is incorrect because a client with anorexia nervosa with muscle weakness and decreased urine output may have underlying medical issues that require an RN's assessment and intervention skills

Correct Answer: A

Rationale: The correct answer is A: Colonoscopy. Beginning at age 50, it is recommended every 10 years to screen for colorectal cancer. This screening test is essential for early detection and prevention of colon cancer. Colonoscopy allows for direct visualization of the colon and removal of any precancerous polyps. Choice B: Ultrasound of the kidney is not a recommended screening test for a 55-year-old female. Kidney ultrasound is typically used for evaluating specific kidney conditions, not as a routine screening test. Choice C: Mammogram is typically recommended for breast cancer screening in women starting at age 40, not every 10 years after age 50. Choice D: Pap smear is used for cervical cancer screening, typically starting at age 21 and continuing every 3-5 years, not every 10 years after age 50.

Correct Answer: B

Rationale: The correct answer is B because limiting foods that activate the bowel can help reduce the chances of embarrassing situations during sexual activity. Certain foods can cause gas or increase stool output, which may affect the client's confidence and comfort. Leaving the stoma open to air and covering with a towel (choice A) is not recommended during sexual activity as it may lead to odor and potential leakage. Bathing and applying a fresh pouch after sex (choice C) is important for hygiene but does not directly address preparation for sexual activity. Consulting with an ostomy support group (choice D) is beneficial for emotional support but does not specifically address strategies for anticipating sexual activity.

Correct Answer: D

Rationale: The correct answer is D: Severe anorexia resulting from radiation therapy. This patient has the highest risk for poor nutritional balance due to the severe anorexia caused by the treatment. Radiation therapy often leads to loss of appetite, making it difficult for the patient to ingest adequate nutrients, resulting in malnutrition. A: Tuberculosis infection does not necessarily directly cause decreased ingestion, as appetite may vary among patients. B: Draining decubitus ulcers may lead to protein and fluid loss but not necessarily decreased ingestion. C: Malabsorption syndrome affects the absorption of nutrients but does not directly relate to decreased ingestion.

Correct Answer: D

Rationale: The correct answer is D because providing adequate support to the incision during coughing, deep breathing, and turning is essential postoperatively to prevent complications such as wound dehiscence or infection in obese patients who have undergone bariatric surgery. Supporting the incision helps reduce stress on the surgical site and promotes proper healing. Choice A is incorrect because irrigating and repositioning the nasogastric tube is not a specific nursing intervention related to the care of the incision after bariatric surgery. Choice B is incorrect because delaying ambulation can increase the risk of complications such as deep vein thrombosis and pneumonia in postoperative obese patients. Choice C is incorrect because keeping the patient positioned on the side to facilitate respiratory function is important, but it is not directly related to supporting the incision during activities that increase intra-abdominal pressure.