LaCharity prioritization/delegation/assignment book DRIVING ME CRAZY!!!
- 0Jun 16, '11 by 3finsBeen 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 wrongLast edit by 3fins on Jun 16, '11
- 3Jun 16, '11 by trooperwifeyI just wanted to reply, maybe it will help you.
When I first read that question, I didn't read the answer right away. I too, picked A. defib the patient.
Here is why I thought that. If you are in the ED, then you have the equipment, ready, right away to do the defibing. That is better over CPR.
We were always taught vfib=defib too.
- 0Jun 16, '11 by Tinkerbell04I will be taking the test for the second time soon. I have been going over these priority questions; they are difficult. Most of them are making sense. I have also been reading the Kaplan strategy book, which explains when to assess and implement. It seems as though an assessment of vfib has been made. I also found this website here:http://www.nursing-nurse.com/medical...chycardia-551/
- 0Jun 16, '11 by Savvy20RNQuote from BetterME29Apparently! I got that question wrong too and I knew that Vfib= defib. My train of thought was that we're just going to stand around while someone runs to get a defibrillator. That didn't make sense, but yeah, NCLEX world is utopia. You have everything you need at the bedside.Defib= V-Fib. Remember, we also have supplies readily available for our use in the NCLEX world.