Question

The licensed practical nurse is working with a registered nurse and a patient care assistant. Which of the following clients should be cared for by the registered nurse? A. A client 2 days post-appendectomy B. A client 1 week post-thyroidectomy C. A client 3 days post-splenectomy D. A client 2 days post-thoracotomy

Short answer

Answer: The client 2 days post-thoracotomy should be cared for by the registered nurse.

Step-by-step solution

Understanding the roles of the healthcare providers

The registered nurse (RN) is responsible for tasks that require a higher level of expertise, while the licensed practical nurse (LPN) and patient care assistant (PCA) can handle tasks under RN supervision. The RN should care for the client with the most complex or unstable condition.

Analyzing the clients' conditions

We will analyze the medical condition of each client to assess the level of care they require. A. Client 2 days post-appendectomy: This client has recently undergone an appendectomy (removal of the appendix). While the client will need monitoring, this is a common and relatively less complicated surgery. B. Client 1 week post-thyroidectomy: This client had a thyroidectomy (removal of the thyroid gland) performed a week ago. The surgical wound would be healing, and the client would require monitoring of their thyroid hormone levels and possible complications that might affect the calcium levels in the body. C. Client 3 days post-splenectomy: This patient had a splenectomy (removal of the spleen) performed 3 days ago. While the recovery time varies, the client would be monitored for infections as the spleen plays a key role in the immune system. D. Client 2 days post-thoracotomy: This client has recently undergone a thoracotomy (surgery involving opening the chest cavity), which is a major and invasive surgery. The client would need close monitoring for possible complications such as respiratory issues, pain management, infection, and proper wound care.

Identifying the appropriate client for the registered nurse

Based on the complexity and required level of care, the client with the most complex and potentially unstable condition is the client 2 days post-thoracotomy (Option D). This client would benefit from the expertise and in-depth knowledge of the registered nurse for proper care and monitoring.