You are caring for a client who has just had a squamous cell carcinoma removed from the face. Which of these tasks can you delegate to an experienced nursing LPN/LVN?

Correct Answer: C

Rationale: The correct answer is C because checking for swelling, bleeding, or pain associated with the surgery falls within the scope of practice for an experienced nursing LPN/LVN. LPNs/LVNs are trained to assess and monitor patients for signs of complications post-surgery. A, B, and D involve client education and teaching, which typically fall under the scope of practice for registered nurses. LPNs/LVNs may assist with reinforcing education provided by the RN but are not typically responsible for initial teaching or education related to a new diagnosis or surgical procedure.

Correct Answer: D

Rationale: The correct answer is D because daily intake of aspirin can increase the risk of bleeding during surgery, which is crucial information for the plastic surgeon. Not using sunscreen (A) is important for post-operative care but not as critical as bleeding risk. Family history of melanoma (B) is pertinent for skin cancer risk but not directly impacting the surgery. Fasting for 8 hours (C) is a standard pre-operative instruction and not as urgent as bleeding risk.

Correct Answer: D

Rationale: The correct answer is D: Pediculicides. Pediculicides are drugs used specifically to treat lice infestations. They work by killing lice and their eggs. In this scenario, the client is prescribed drug therapy for lice treatment, making pediculicides the appropriate drug class. Antihistamines (choice A) are used to relieve allergy symptoms, antifungals (choice B) treat fungal infections, and keratolytics (choice C) help remove dead skin cells. These choices are incorrect as they do not target lice infestations.

Correct Answer: C

Rationale: The correct answer is C: Avoid walking barefoot. This practice helps prevent spreading the fungal infection to other areas and reduces the risk of reinfection. Walking barefoot in public places can expose the affected foot to more fungi. Explanation: 1. Walking barefoot increases the risk of spreading the infection. 2. Shoes act as a barrier to protect the affected foot. 3. Avoiding barefoot walking reduces the chances of reinfection. 4. It is a key preventive measure in managing onychomycosis. Summary: A: Incorrect. Antifungal medications for onychomycosis need to be taken for several weeks to months, not just 5 to 10 days. B: Incorrect. Changing footwear alone does not target the root cause of the infection. D: Incorrect. Keeping the feet moist can exacerbate the fungal growth.

Correct Answer: C

Rationale: The correct answer is C because during burn injury recovery, protein needs increase significantly to promote tissue repair and wound healing, which is typically two to four times higher than normal. Higher calorie intake is also required to support the increased metabolic demands of healing. Option A is incorrect as it underestimates protein needs. Option B is incorrect as it suggests inadequate protein intake. Option D is incorrect as it recommends insufficient calories for the increased protein needs.