A nurse is planning to administer medications to a client who has a nasogastric tube. Which of the following actions should the nurse take?

Choice A reason: Imagery involves visualizing specific scenes or outcomes to reduce stress, not focusing on physical sensations like breathing or muscle relaxation. The group’s focus on body awareness and sequential relaxation aligns with progressive relaxation, making this an incorrect description.

Choice B reason: Meditation typically involves mindfulness or mental focus, not systematic physical relaxation of body parts. The group’s structured progression through breathing and muscle groups is specific to progressive relaxation training, making meditation an incorrect term.

Choice C reason: Group biofeedback uses devices to monitor physiological signals (e.g., heart rate), not verbal guidance to focus on relaxation. The described activity relies on mental focus without equipment, aligning with progressive relaxation, making biofeedback incorrect.

Choice D reason: Progressive relaxation training involves systematically tensing and relaxing muscle groups while focusing on sensations, as described (e.g., breathing, left arm). This technique reduces stress and promotes relaxation, making it the correct description of the group’s activity.

Choice A reason: A newly admitted client needing wet-to-dry dressing changes requires initial wound assessment and teaching, which are RN responsibilities. LPNs can perform dressings, but new admissions involve complex evaluations outside their scope, making this inappropriate for delegation.

Choice B reason: Emptying a JP drain for a discharge-ready client is a routine, stable task within an LPN’s scope. The patient’s condition is stable, and the procedure is straightforward, requiring no complex judgment, making this the most appropriate task to delegate to an LPN/LVN.

Choice C reason: A client with a stage III pressure ulcer and IV antibiotics requires advanced wound assessment and IV management, which are RN tasks. LPNs have limited scope for IV therapy and complex wounds, making this inappropriate for delegation.

Choice D reason: A client 2 days post-abdominal surgery on oral pain medication may need monitoring for complications, an RN responsibility. LPNs can assist, but potential instability makes this less suitable for delegation compared to the stable, routine task of emptying a JP drain.