NCLEX-PN

chest tube. (D) , having all supplies ready, is also important but does not take precedence over maintaining a sterile field during this invasive procedure. (See Invasive Procedures: Varied and Vital) 9. The LPN is performing data collection on a client. When collecting data on a client's gastrointestinal system, the LPN should perform inspection and then

A.​ percussion. B.​ palpation. C.​ auscultation. D.​ digital rectal examination.

Correct Response: C Explanation: The correct answer is (C) for systematic gastrointestinal data collection by an LPN, which involves the sequential steps of inspecting the abdomen, auscultating for bowel sounds, percussing the abdomen, and palpating it. This order ensures a comprehensive and organized assessment. (A) is inaccurate as auscultation should follow inspection to assess bowel sounds. (B) is incorrect since palpation should come after percussion, and avoiding problem areas initially is essential for maintaining the client's cooperation. (D) is deemed inappropriate, as a digital rectal examination (DRE) is typically performed by a healthcare provider and is not a routine step in the LPN's gastrointestinal data collection. Following the proper sequence is vital for a thorough assessment and effective collaboration in client care. (See Techniques of Physical Assessment ) 10. Which of these would be the most appropriate assignment for an LPN? A.​ 35-year-old client who is suffering from an acute asthma attack B.​ 18-year-old femur fracture client who is just returning to the floor from the recovery unit C.​ 20-year-old client with Cystic Fibrosis who needs an early morning sputum sample collection D.​ 84-year-old client 2 days post-op after knee replacement surgery who needs help ambulating Correct Response: C Explanation: The correct answer is (C) , as the most appropriate assignment for an LPN is the 20-year-old client with Cystic Fibrosis who needs an early morning sputum sample collection. Collecting samples on stable clients falls within the LPN's scope of practice. However, other options involve scenarios that require expertise beyond the LPN's scope. The 35-year-old client with an acute asthma attack requires immediate attention from an RN or medical provider due to the urgency and complexity of the situation. Similarly, the 18-year-old femur fracture client returning from the recovery unit needs an initial assessment by an RN. The 84-year-old client 2 days post-op after knee replacement surgery, who needs help ambulating, is better suited for a nursing assistant, allowing the LPN to focus on tasks aligned with their expertise. This approach ensures efficient and safe care allocation based on the specific needs of each client. (See Client Care Assignment ) 11. A client is admitted to the ICU after being in a boating accident where he was severely injured. His mother is at the bedside and asks him about the accident. The client states, “What accident? I'm fine, Mom!” Which of the following is the client exhibiting?

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