Which resident(s) require the assistance of an LPN rather than a UAP?

The correct answer highlights the need for skilled nursing intervention due to the complexities associated with managing diabetes, particularly in the context of acute changes in a client's condition. A resident with type I diabetes who reports symptoms such as feeling sweaty and tired could be experiencing hypoglycemia or other significant glucose fluctuations. Such symptoms require assessment and potential intervention that only a licensed practical nurse (LPN) is qualified to perform. The LPN can evaluate glucose levels, administer appropriate interventions like oral glucose or insulin adjustments, and monitor for any further complications, which is beyond the scope of practice for a unlicensed assistive personnel (UAP).

The other scenarios presented may require some level of assistance but do not necessitate the specialized knowledge or interventions that an LPN would provide. For example, the elderly man with a shuffling gait may require assistance with mobility, which a UAP can effectively provide, similarly to the elderly woman who is four weeks post-hip surgery, where rehabilitation and basic care can typically be managed by a UAP. The elderly man who is two days post-amputation may also require assistance with activities of daily living, but does not require the specialized assessment and intervention that would be the responsibility of an LPN.