A nurse on a medical-surgical unit is caring for a group of clients with the assistance of a licensed practical nurse (LPN) and an 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
Providing postmortem care for a client who has just died
Obtaining a urine specimen from an older adult client
Reinforcing dietary teaching with a client who has heart disease
The Correct Answer is D
Choice A reason: Accompanying a client who just had a wound debridement to physical therapy is not a task that the nurse should assign to the LPN, as it requires the nurse to monitor the client's vital signs, wound status, and pain level. The nurse should accompany the client and delegate other tasks to the LPN or the assistive personnel.
Choice B reason: Providing postmortem care for a client who has just died is not a task that the nurse should assign to the LPN, as it requires the nurse to verify the death, notify the provider and the family, and document the care. The nurse should provide postmortem care and delegate other tasks to the LPN or the assistive personnel.
Choice C reason: Obtaining a urine specimen from an older adult client is not a task that the nurse should assign to the LPN, as it is a basic skill that the assistive personnel can perform. The nurse should assign this task to the assistive personnel and supervise their work.
Choice D reason: Reinforcing dietary teaching with a client who has heart disease is a task that the nurse should assign to the LPN, as it is within the LPN's scope of practice to reinforce the teaching that the nurse has initiated. The nurse should provide the initial teaching and evaluate the client's learning.
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Correct Answer is D
Explanation
Choice A reason: This is not the correct choice because requesting orientation to the medical-surgical unit is not the first action the nurse should take. Orientation is a process that takes time and planning, and it may not be feasible or necessary for a temporary assignment. The nurse should first ensure that they are competent to perform the tasks and procedures required on the medical-surgical unit.
Choice B reason: This is not the correct choice because referring to the assigned resource nurse regarding client assignments is not the first action the nurse should take. The resource nurse is a person who can provide guidance and support to the nurse during the shift, but they are not responsible for determining the nurse's competencies or assigning clients. The nurse should first communicate with the charge nurse, who is the leader of the unit and has the authority to assign clients according to the nurse's skills and experience.
Choice C reason: This is not the correct choice because informing the nursing supervisor of the lack of experience on the medical-surgical unit is not the first action the nurse should take. The nursing supervisor is a person who can oversee the staffing and operations of the nursing units, but they are not directly involved in the clinical care of the clients or the education of the staff. The nurse should first consult with the charge nurse, who can assess the nurse's competencies and provide appropriate resources and education.
Choice D reason: This is the correct choice because clarifying competencies with the medical-surgical charge nurse is the first action the nurse should take. The charge nurse is a person who can evaluate the nurse's skills and knowledge, assign clients according to the nurse's level of expertise, and provide orientation and training as needed. The nurse should be honest and proactive in communicating their competencies and learning needs to the charge nurse.
Correct Answer is B
Explanation
Choice A reason: This is not the correct choice because this assignment is not appropriate for a licensed practical nurse. A client who requires discharge instructions for type 1 diabetes mellitus needs education on self-care, medication administration, blood glucose monitoring, diet, and exercise. These are complex tasks that require the knowledge and skills of a registered nurse.
Choice B reason: This is the correct choice because this assignment is appropriate for a licensed practical nurse. A client who is 1 day postoperative and has a continuous bladder irrigation needs routine care, such as vital signs, wound assessment, fluid intake and output, and catheter care. These are basic tasks that can be performed by a licensed practical nurse under the supervision of a registered nurse.
Choice C reason: This is not the correct choice because this assignment is not appropriate for a licensed practical nurse. A client who requires a blood transfusion to be administered needs careful monitoring, such as checking for compatibility, verifying informed consent, observing for adverse reactions, and documenting the transfusion. These are advanced tasks that require the judgment and authority of a registered nurse.
Choice D reason: This is not the correct choice because this assignment is not appropriate for a licensed practical nurse. A client who is receiving IV chemotherapy needs specialized care, such as preparing and administering the medication, managing side effects, providing emotional support, and following safety precautions. These are specialized tasks that require the training and certification of a registered nurse.
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