A nurse on a medical-surgical unit is caring for a group of clients with the assistance of a licensed practical nurse (LPN) and assistive personnel. Which of the following tasks should the nurse assign to the LPN?
Accompanying a client who just had a wound debridement to physical therapy
Obtaining a urine specimen from an older adult client
Providing postmortem care for a client who just died
Reinforcing dietary teaching with a client who has heart disease
None
None
The Correct Answer is D
A. Accompanying a client to physical therapy requires ongoing assessment of the client’s status and tolerance for activity, which is within the RN’s scope of practice.
B. Obtaining a urine specimen is a routine, stable task that can be performed by assistive personnel (UAP), not requiring LPN-level judgment.
C. Providing postmortem care is within the scope of practice of UAP, as it involves routine body care rather than clinical decision-making.
D. Reinforcing dietary teaching with a client who has heart disease is appropriate for an LPN because it involves reinforcing teaching that was already provided by the RN. LPNs can provide education on established care plans and reinforce instructions, making this task suitable for delegation.
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Related Questions
Correct Answer is B
Explanation
a. Measuring oxygen saturation for a client with dyspnea requires clinical judgment and assessment skills typically performed by licensed nursing staff.
b. Performing nasal hygiene for a client with an NG tube is within the scope of practice for an assistive personnel (AP) and does not require advanced nursing skills.
c. Pouching a client's ostomy bag for a new colostomy requires specialized training and should be performed by licensed nursing staff.
d. Inserting a rectal suppository for a vomiting client involves administering medication and assessing the client's condition, tasks that should be performed by licensed nursing staff.
Correct Answer is C
Explanation
a. Educating the client about the risks of refusing the procedure is important but should come after ensuring the client fully understands the procedure itself.
b. Completing an incident report is not necessary in this situation; the focus should be on ensuring the client understands the procedure.
c. Informing the provider that the client requires clarification about the procedure allows for further explanation from a medical professional who can address the client's concerns effectively.
d. While answering the client’s questions is important, if the client does not understand the procedure, further clarification from the provider is necessary to ensure informed consent.
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