Published Nov 11, 2014
romioust
36 Posts
Have anyone used this book to study for the Nclex exam? I am kind of confused on some of the answers in this book and think it is wrong.
Ex: Which client would be appropriate for the RN to delegate to the LVN/LPN?
1. A client who needs IV antibiotics and a central line dressing change.
2. A client in liver failure who needs a blood transfusion.
3. A client who is postop and needs IV pain medication.
4. A client with GI bleeding who needs procedural sedation for a CT scan.
THE BOOK ANSWER IS: 2
Ex: A client dies in the hospital. The driver's license indicates that the client wanted to be an organ donor. The family is refusing organ donation. What is the correct action by an RN?
1. Discuss with the family the legality of the driver's license indicating organ donation.
2. Respect the family's wishes.
3. Seek legal advice to carry out client's wishes.
4. Activate the donor team to go forward with the organ donation process.
Loo17
328 Posts
Both those answers are correct to me.
The patient in question 1/answer 2 is the most stable. While the LPN can not hang the transfusion (in my state or observe the first 15 minutes), they can care for this patient otherwise. An LPN can not give antibiotics through a central line, can not monitor a fresh post op patient that needs IV push meds and can not give sedation.
In question 2, a family always has the ability to over-ride organ donation wishes after death. That is why it is so important to discuss organ donation wishes with family ahead of time so that they understand your wishes and are more likely to fulfill them. Answer 2 is correct.
jack4nursing
6 Posts
Hi. I am using too and I have lots of doubts as well. As far as the questions you asked yes they don't make any sense to me at all. God help us! We don't want to memorize incorrect info right?
The first thing that came to mind when looking at the first question was a LPN can not hang blood. Thanks. I have been studying LaCharity and Kaplan for a while now. I decided to try something else.
Yes Jack4nursing you are correct. I have been trying to look up reviews for this book and have not found many.
Fyi, I used all of the davis success series books. Those are the only books I used and I passed with 75 questions in less than an hour. It was years ago but I loved the books.
The LPN can not hang the blood but they can take care of the patient after the blood is hung. The other patients the LPN can not care for.
Thanks Loo17, I will continue to study the book then. Thanks for the input.