A nurse is planning care for four clients and is assigning tasks to a licensed practical nurse (LPN) and an assistive personnel (AP). Which of the following should the nurse assign to the LPN?
Measure 1&O for a client who has an indwelling urinary catheter.
Reinforce teaching to a client to begin taking enoxaparin at home following a hip arthroplasty.
Develop a plan of care for a client who has cholecystitis.
Complete an admission assessment for a client who has COPD.
The Correct Answer is B
Rationale:
A. Measuring I&O can be performed by an AP, as it does not require advanced skills or clinical judgment.
B. Reinforcing teaching about medication is within the LPN's scope of practice, as LPNs are trained to provide education and support based on the teaching provided by RNs or physicians.
C. Developing a plan of care is generally a responsibility of the RN, as it involves comprehensive assessment and planning.
D. Completing an admission assessment is a task for RNs due to its complexity and the need for a detailed clinical evaluation.
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Related Questions
Correct Answer is D
Explanation
Rationale:
A. Providing a back rub can be done by an AP, as it does not require specialized nursing skills.
B. Transporting a client is an appropriate task for an AP if the client is stable.
C. Performing oral hygiene for a postoperative client can be managed by an AP with supervision.
D. Removing and cleaning the cannula of a new tracheostomy requires specific skills and knowledge that only a licensed nurse should perform to avoid complications.
Correct Answer is C
Explanation
Rationale:
A. Asking about discharge is a general inquiry that does not require immediate follow-up unless it’s related to specific discharge planning.
B. Changing the dressing is a routine postoperative care task and doesn’t necessarily require follow-up unless there’s a concern about the procedure.
C. Not receiving medications is a critical issue that needs immediate attention to address potential gaps in treatment.
D. Not knowing how to use the remote control is a minor issue that does not require clinical follow-up.
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