NCLEX-PN

Category - Coordinated Care

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The attending physician of a client admitted for encephalopathy has given several orders to be carried out immediately. Which of the following orders should the non-IV certified LPN do first?

Insert NGT stat, prepare materials
Insert IV and start IV D5NS to run at 20 gtts/min
Call for a neurologist consult
Keep client on NPO, CBG (capillary blood glucose) monitoring stat and then every 4 hours

Explanation

Answer: D - An LPN is skilled in CBG monitoring. CBG is important in determining whether the client is hypoglycemic due to the NPO status ordered by the physician. Options B and C require the skill of an RN or IV certified LPN. Option A requires more time in preparation.

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NCLEX-PN

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