A new graduate from a practical nursing program successfully passes her NCLEX-PN and begins working on a busy neurological unit. She should be able to:
A) perform a detailed neurological assessment of a comatose client.
B) write a client teaching lesson plan on caring for a neurological shunt.
C) monitor a client's cerebral perfusion pressure and intracranial pressure readings and determine actions to take based upon the findings.
D) provide up-to-date information about preventing falls in the older adult population at a community health and wellness expo.
Ans: D
Feedback:
The new graduate from a practical nursing program will care for stable clients with appropriate supervision and perform entry-level tasks and administer medications according to their state licensure. A client in a coma or a client requiring neurological monitoring of cerebral perfusion pressure and intracranial pressure is beyond the educational preparation of a practical nurse. The practical nurse is taught to assess a client's neurologic status but does not have the training to perform a detailed neurologic assessment. A practical nurse graduate may teach skills to a client, such as postural drainage. The registered nurse should write a detailed teaching plan and teach the client on how to care for a neurological shunt.
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