To which goal should the LPN/LVN give priority?
a. Resident X who has been experiencing a medication reaction will have no rash and uncompromised respirations.
b. Resident Y who is obese and has had a recent knee replacement will ambulate using a walker with the assistance of a staff member.
c. Resident Z will receive blood glucose monitoring and insulin as ordered.
d. All residents will be weighed before breakfast.
ANS: A
The goal for the resident who has been experiencing a medication reaction that states he will have no rash and uncompromised respirations reflects a level 1 priority, a life-threatening situation. The goal for an obese resident who has had a recent knee replacement that states she will ambulate using a walker with the assistance of a staff member is level 2, essential to safety. The remaining options are level 3 priorities, essential to the medical/nursing plan of care.
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