NCLEX-RN

Category - Safety

The charge nurse is delegating activities to the LPN in the medical ward. Which one of the following activities observed by the charge nurse should be interrupted?
  1. Offering a glass of water to a four-hour post-bronchoscopy client.
  2. Encouraging a client with arm fracture to perform isotonic exercises.
  3. Applying gentle massage to a client complaining of headache.
  4. Reminding a hypertensive client to avoid saltine crackers and French fries.
Explanation
Answer: A - The charge nurse should not offer a glass of water to a post-bronchoscopy client without first evaluating the gag reflex, which should be done by the physician or the RN. Assessment, health teaching, and plan of care should be done by the RN. Encouraging a client to perform isotonic exercise helps prevent muscle tone loss. Gentle massage can be safely done by the LPN. The LPN can reinforce instructions to a client if this is already included in the nurse’s plan of care.
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