A nurse is reviewing the history and physical of a client who has right ventricular heart failure.
Which of the following is an expected finding?

A. Insisting on direct eye contact may be uncomfortable or distressing for some clients, particularly those with certain mental health conditions or cultural backgrounds. It's important to respect the client's comfort level.

B. Seating the client too far away can create a sense of distance and may hinder effective communication. A closer seating arrangement facilitates rapport and engagement.

C. Positioning the client's chair between the nurse's chair and the door may make the client feel trapped or uncomfortable, especially if they have concerns about their safety or autonomy.

D. Leaning in slightly when speaking to the client demonstrates attentiveness and engagement. It can also convey a sense of confidentiality and respect for the client's space.

A. Inserting an indwelling catheter is within the LPN’s scope of practice. However, this task should only be delegated if the nurse has verified the need and obtained a provider’s order. Delegation of this task depends on the facility’s policies and the LPN’s competencies.

B. Obtaining abdominal girth is a routine measurement that can be delegated to an AP. This task does not require clinical judgment, making it unnecessary to assign it to the LPN.

C. Assessing and documenting the level of consciousness requires critical thinking and nursing judgment, which are responsibilities of the registered nurse (RN). This task should not be delegated to the LPN or AP.

D. Measuring the amount of gastric drainage every 2 hours is within the scope of practice for the LPN. This task involves observation and documentation but does not require complex clinical judgment, making it an appropriate delegation for the LPN.