Been doing the LaCharity book and the questions relating to delegating tasks to LPNs are driving me CRAZY as I'm missing most of them.
In nursing school we were taught LPNs had two general rules: They cannot teach, and they cannot assess. Further, I know the role of the LPN may vary from facility to facility and state to state. Thus, these questions are reaaally difficult for me as there seem to be no real cut-and-dry rules to go by.
Are these LaCharity type LPN type questions actually on NCLEX, or is it at least more cut-and-dry? They really have me stressing.
Then in the cardiovascular section I came to a question that's just so WRONG I couldn't believe it:
An unresponsive client with vfib has just arrived in the ED. What action is taken first?
a. defib the client
b. start CPR
c. administer epi
d. intubate the client
LaCharity says the answer is "a" with the rationale the client is always defibbed first and THEN start CPR if defib doesn't work.
That answer couldn't be more wrong - at least according to the AHA. CPR should be started first (immediately) while defibrillation is prepared. This is what we were taught in school, as well as BLS/ACLS. Am I right?????
Just completely puzzled how a book could get theis sort of gold standard info so wrong:confused:
