LaCharity prioritization/delegation/assignment book DRIVING ME CRAZY!!!

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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:

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Yes, I am having a hard time understanding it as well, and I have been getting alot of them wrong too. That question is wrong I am sure of it. It doesnt follow ABCs? Right? The book it very helpful, but its making me doubt my test taking abilities.

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If you are having that much trouble with the book just set it aside and come back to it later in your studying, or even just go to the test with your thought processes as they are now. Don't waste time on being frustrated.

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Specializes in Emergency Nursing.

I 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.

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I 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-and-nursing-management-of-arrhythmias-ventricular-tachycardia-551/

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Specializes in Med/Surg Nurse, Homecare, Visiting Nurse.

Defib= V-Fib. Remember, we also have supplies readily available for our use in the NCLEX world.

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Specializes in Medsurg, Public Hlth, School Nurse, Acute Rehab.
Defib= V-Fib. Remember, we also have supplies readily available for our use in the NCLEX world.

Apparently! 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. :lol2:

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Hi there! can anyone send me a copy of la charity? Thanks! :)

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This book is awesome. It definitely helped with all the priority questions I had on nclex! The questions are worded so similar as are the answer options! Same level of difficulty on the nclex!

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Hi there! can anyone send me a copy of la charity? Thanks! :)

If you have an android or any smart phone you can get in on Amazon for roughly $18

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Specializes in orthopedic & HDU.
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:

a) is i think the correct choice,, remember in nclex setting base on textbook..... emergency setting,aha, bls,etc they base on a hospital emergency settings where you need to run and get ur defib machine,, i hope that helps...God bless

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V-fib has to be immediately defibrillated, that rhythm has to be stopped.

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