Assuming all the following are staff members on the unit, to whom ...

[Mimi]

Assuming all the following are staff members on the unit, to whom should the LPN/LVN charge nurse assign a newly admitted 65-year-old resident with left hemiplegia and a large sacral decubitus requiring a sterile dressing change?
 
  a. LPN/LVN orientee with 1 week of experience
  b. LPN/LVN with 2 years of experience
  c. Nursing assistant with 3 years of experience
  d. Nursing assistant who is a nursing student at a local college

Question 2

When the LPN/LVN charge nurse makes rounds with the physician, which information should be called to the physician's attention?
 
  a. The resident demonstrates a weight increase or decrease of 1 lb.
  b. The resident demonstrates a temperature elevation over 99 F.
  c. The resident demonstrates a reduced level of consciousness.
  d. The resident demonstrates a blood pressure over 120/80.

[polinasid]

Answer to Question 1

ANS: B
The resident will require data collection by an experienced person to assist the RN with care planning. The assigned caregiver will need to be able to implement relatively complex care, including use of surgical aseptic technique and nursing judgment. The care required might be more than the orientee can provide. A nursing assistant should not be assigned to care for a new resident requiring careful data collection and use of nursing judgment.

Answer to Question 2

ANS: C
A reduced level of consciousness is a significant change. The other options are not considered significant.