A nurse is planning care for a group of clients at the beginning of the shift. Which of the following tasks should the nurse assign to the licensed practical nurse (LPN)?

Analyzing data to identify issues for a client who has uncontrolled diabetes mellitus

Assisting a client with crutch walking following knee replacement surgery

Evaluating the outcomes of a new postoperative client

Developing the plan of care for a client who has an amputation

Answer and Explanation

The Correct Answer is B

Rationale:

A. Analyzing data to identify issues for a client who has uncontrolled diabetes mellitus requires a higher level of clinical judgment and is typically performed by an RN.

B. Assisting a client with crutch walking following knee replacement surgery is an appropriate task for an LPN, as it involves support with activities of daily living and mobility.

C. Evaluating the outcomes of a new postoperative client involves assessing the effectiveness of care and requires RN-level assessment skills.

D. Developing the plan of care for a client who has an amputation involves comprehensive assessment and planning, which is usually the responsibility of an RN.

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Correct Answer is B

Explanation

Rationale:

A. A client who has Guillain-Barre syndrome requires close monitoring and specialized care due to progressive weakness and potential respiratory issues. This client's care may involve more complex needs that are beyond the AP's scope.

B. A client who has a lumbosacral spinal tumor is likely to have fewer immediate needs related to eating assistance, making this task appropriate to delegate to the AP. The client’s primary concern may be mobility or pain management, but meal assistance is a routine task.

C. A client who has systemic sclerosis may have issues with gastrointestinal motility and swallowing, requiring more careful feeding assistance and monitoring, which should be performed by the nurse.

D. A client who has amyotrophic lateral sclerosis (ALS) requires specialized care for swallowing difficulties and respiratory issues, making it inappropriate to delegate meal assistance to the AP.

A. "The nurse relinquishes accountability for client outcomes when care is delegated to an AP." B. "The nurse should consider the AP's level of experience when making delegation decisions." C. "The AP can provide client education about how to perform basic self-care to the client." D. "The AP can re-delegate a task to another AP who has similar work experience."

Correct Answer is B

Explanation

Rationale:

A. The nurse does not relinquish accountability when delegating tasks to an AP; the nurse remains responsible for the overall care and outcomes.

B. Considering the AP's level of experience is crucial for effective delegation to ensure that tasks are matched to the AP's skills and knowledge.

C. Providing client education is generally beyond the scope of AP duties and should be performed by a licensed nurse.

D. Re-delegating tasks is not allowed; the original delegator remains responsible for ensuring the task is completed properly and should delegate directly to the appropriate individual.

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A nurse is planning care for a group of clients at the beginning of the shift. Which of the following tasks should the nurse assign to the licensed practical nurse (LPN)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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