The nurse is making assignments for the next shift. Which client can be assigned to a licensed practical nurse/licensed vocational nurse (LPN/LVN)? Select all that apply. A. A client who just had coronary artery bypass graft (CABG) B. A client who needs assistance with colostomy irrigation C. A client who needs initial admission assessment D. A client who has C3 to C5 spine injury E. A client who is receiving glargine subcutaneously - B and E R: An LPN/LVN can perform colostomy irrigation and administer subcutaneous injections. A client who just had CABG is unstable and needs to be monitored by an RN. The initial admission assessment should also be performed by an RN. C3 to C5 injury may cause respiratory compromise. Possible paralysis of diaphragm due to phrenic nerve involvement may occur. This client is unstable and should be assigned to an RN. A nurse is assigned four clients. Which client should the nurse see first? A. A 50-year-old client with diverticulitis B. A 50-year-old client three days post myocardial infarction C. A 33-year-old client with a recent diagnosis of Guillain-Barré syndrome D. A 17-year-old client 24 hours post appendectomy - C R:Guillain-Barré syndrome is characterized by ascending paralysis and potential respiratory failure. The order of client assessment should follow client priorities, with disorders of airway, breathing, and then circulation seen first. There is no information to suggest that the client with post myocardial infarction has an arrhythmia or other complication. There is no evidence to suggest hemorrhage or perforation for the remaining clients as a priority of care. A nurse is working with an unlicensed assistive personnel (UAP). Which clients should the nurse assign to the UAP? Select all that apply. A. Adult client who had abdominal surgery yesterday and requires a dressing change. B. Adult client newly diagnosed with diabetes who is learning to administer insulin. C. Adult client who had a hysterectomy 3 days ago and requires vital sign checks every 4 hours. D. Young adult client who requires tube feedings. E. Older adult client who had hip replacement surgery and needs to walk in the hall with a walker. - C and E R: The UAP can assist clients ambulate and take vital signs. It is within the RN scope of practice to teach the client to administer insulin, change dressings, and administer tube feedings. A nurse is preparing to help a client with weakness in his or her right leg move from the bed to a chair. Where should the nurse place the chair? - 45 degrees to the bed on the left side R: The nurse should place the wheelchair at a 45 degree angle or parallel to the bed on the client's strong side to help prevent a fall. The nurse teaches the parents of a 2-year-old child how to instill antibiotic eardrops. Which statement about the direction to pull on the earlobe indicates that the child's father has understood the teaching? A. "I should pull the earlobe down and backward." B. "I should pull the earlobe up and forward." C. "I should pull the earlobe up and backward."