The LPN supervisor is assigning LPNs to clients on a skilled nursing unit at a long term care facility. In which situation would the LPN reduce the assignment due to client acuity?
A) A client who desaturates with minimal exertion
B) A client with dementia who is combative during medication administration
C) A client who needs to be ambulated in the hall with the assistance of two for restorative therapy
D) A client requires several intravenous antibiotics to treat a septic infection
A
Feedback:
Acuity refers to the severity of the illness and the potential rapid change in the client. A client that desaturates with minimal exertion is at risk for respiratory compromise and respiratory arrest. Careful and repeated nursing assessment is needed limiting the time for other client interactions. Dementia is a chronic condition making daily activities such as medication administration challenging. A restorative care client focuses on improving activities of daily living. A client with multiple intravenous antibiotics should improve as treatment progresses.
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