A nurse educator is teaching a group of students about the role of nurses in health promotion. The educator recognizes that the nurse who works in health promotion and safety for an automotive plant is functioning in what role?
Nurse clinician
Public health nurse
Community nurse specialist
Occupational health nurse
The Correct Answer is D
Choice A reason:
A nurse clinician typically provides direct patient care in clinical settings such as hospitals or clinics. While they may be involved in health promotion, their primary role is not focused on workplace health and safety.
Choice B reason:
A public health nurse works to improve the health of populations and communities. They focus on public health initiatives and may work in various settings, but their role is broader than the specific focus on workplace health and safety.
Choice C reason:
A community nurse specialist provides specialized care within a community setting. While they may engage in health promotion, their role is not specifically tied to workplace health and safety.
Choice D reason:
An occupational health nurse focuses on health promotion and safety within the workplace. They work to prevent work-related injuries and illnesses, promote healthy work environments, and provide care for employees. This role aligns with the description of a nurse working in health promotion and safety for an automotive plant.
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Correct Answer is ["A","B","C","E"]
Explanation
Choice A reason:
Monitoring vital signs of postoperative clients is a task that can be safely delegated to an experienced LPN. LPNs are trained to monitor and report vital signs, which is a routine and essential part of postoperative care. This task does not require the advanced assessment skills of an RN, making it appropriate for delegation.
Choice B reason:
Administering routine medications to stable clients is within the scope of practice for LPNs. They are trained to administer medications and monitor clients for adverse reactions. As long as the clients are stable and the medications are routine, this task can be delegated to an LPN.
Choice C reason:
Performing wound care on a client with a Stage III pressure ulcer is a task that an experienced LPN can perform. LPNs are skilled in wound care and can manage complex dressings and treatments under the supervision of an RN. This delegation allows the RN to focus on more complex tasks that require their advanced skills.
Choice D reason:
Developing a teaching plan for a client newly diagnosed with Type II Diabetes is a task that should not be delegated to an LPN. This task requires comprehensive knowledge of diabetes management, patient education, and individualized care planning, which are within the RN’s scope of practice. The RN should develop the teaching plan and may involve the LPN in reinforcing the education.
Choice E reason:
Providing oral care to an unconscious client is a task that can be delegated to an experienced LPN. Oral care is essential for preventing infections and maintaining hygiene, and LPNs are trained to perform this care safely and effectively.
Correct Answer is D
Explanation
Choice A reason:
Encouraging the client to use ice therapy to alleviate muscle stiffness is not the best approach for managing multiple sclerosis (MS). While ice therapy can provide temporary relief for muscle stiffness, it does not address the need to increase venous return, prevent stiffness, or maintain muscle strength and endurance. Gentle stretching exercises are more effective for these goals.
Choice B reason:
Administering interferon is a common treatment for MS to help reduce the frequency and severity of relapses. However, it does not directly address the need to increase venous return, prevent stiffness, or maintain muscle strength and endurance. Exercise and physical therapy are more appropriate for these specific goals.
Choice C reason:
Administering corticosteroids is used to manage acute exacerbations of MS by reducing inflammation. While corticosteroids can help manage symptoms during a flare-up, they do not directly contribute to increasing venous return, preventing stiffness, or maintaining muscle strength and endurance. Regular exercise is more effective for these purposes.
Choice D reason:
Encouraging the client to perform gentle stretching exercises daily is the most appropriate action. Stretching exercises help increase venous return, prevent stiffness, and maintain muscle strength and endurance. Regular physical activity is essential for managing MS symptoms and improving overall function and quality of life.