Published
I would say that when looking at the answer you should see key words that should let you know that it can only be done by an RN. If you see teach, anthing that has to do with doing an inital assessment. Buy the Lacharity, book I have both editions and if your on a tight buget buy the first. Always delegate to other nurses stable pt's!
Think stable patient with predictable outcomes for LPNs. I wouldn't get caught up on "no IV push", because from what I've seen, the q's will never say that. They're more likely to say:
a. an 87 yr-old man 2 days post-op cholesystectomy with a temp of 100.1 F
b. a 29-year old female 2 days post-op from abdominal surgery who just felt a "popping" sensation
and so on... so don't get hung up on what things the nurse can do, think about the patients as whole people. Are they stable? Did their procedures or do their conditions have predictable outcomes? Compare each one to the next, and pick one of those, then move on to the next person and compare to the "winner" from the first... do this for all of them, and you'll know a. which to see first or b. which to give to an LPN or UAP, whichever the case may be. And when there's a toss up? Use your ABC's, of course!
(now, if I could only understand psych that well!)
This is a great question!!! I have La Charity and I still have difficulty with these type of questions. In all honesty the hospitals that I have had clinical didn't have LPN's therefore it is difficulty for me to visualize their scope of practice because I have never had to work with them and it is seems so similar to an RN's. Could anyone clarify/ elaborate on the LPN's scope of practice. I am pretty set on the UPA.
TabithaB, your mnemonic EAT is easier to remember, I am definitely going to remember that, Thanks!!! :)
Always acute over chronic, actual over potential, ABC's (duh, I know you know that one!).
level one: acute and happening now!
level two: actual problems in which clients already have help
level three: relatively urgent
level four: actual or potential problems that may be needed in the future (ex. discharge teaching)
physiological always comes before psych!
I hope that helps! Good luck to you:yeah:
coltsgrl
212 Posts
I'm terrified of these 2 types of questions...I've heard horror stories of people getting 20 or more of this type and I can't seem to figure it out. I know the obvious, LPN's can't do IV push and CNA's can't do anything nursing related, but the less obvious one's I'm having trouble with.
Any tips??