Editing Management of Care – LPN Practice Questions (section)

==Question 13==
A registered nurse has completed initial teaching for a client newly prescribed insulin. Later, the client asks the licensed practical nurse to go over how to draw up the dose again. Which action should the LPN take?
# Tell the client to wait until the registered nurse is available.
# Review the steps with the client, observe a return demonstration, and report the client's performance to the registered nurse.
# Give the client a manufacturer's pamphlet and document that teaching is complete.
# Refer the client to the pharmacist for instruction.

'''Answer:''' 2.

''Rationale:'' The registered nurse performs initial teaching and evaluates learning; the LPN reinforces teaching that has already been initiated and reports the client's response so that the registered nurse can evaluate whether the outcome was met. Reviewing the steps and observing a return demonstration is exactly that reinforcing role. Option 1 withholds appropriate care the LPN may provide. Option 3 substitutes a handout for instruction and documents an outcome that was never evaluated. Option 4 unnecessarily transfers a nursing responsibility.