An RN on a behavioral health unit is assessing a client. The RN plans to delegate part of the nursing process to a licensed practical nurse (LPN). Which of the following statements by the RN indicates appropriate delegation to the LPN?
"Please verify with the client which of the following medications they are taking."
"Please perform a complete assessment of the client."
"Please document the admission assessment in the chart."
"Please use these client assessment findings to draw a conclusion so that a plan can be developed."
The Correct Answer is A
A. This is an appropriate delegation to an LPN. It involves data collection, which is within the scope of LPN practice. The RN retains responsibility for medication administration and reconciliation.
B. This is inappropriate delegation. A complete assessment requires critical thinking and clinical judgment, which are within the scope of RN practice.
C. While documentation is important, it's usually the responsibility of the RN to ensure accurate and complete charting, especially for initial assessments.
D. Drawing conclusions and developing a plan requires nursing judgment and is the responsibility of the RN.
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Related Questions
Correct Answer is D
Explanation
A. A child with a head injury may require close monitoring for neurological changes, which could involve frequent assessments and interventions. While not directly related to infection risk, the needs of this child may be different from those of a postoperative child, making this pairing less ideal due to differing care needs and potential disruptions.
B. A child in sickle cell crisis is likely experiencing significant pain and requires specialized care for pain management and hydration. This condition is not contagious but can be complex and may require frequent interventions, making it less ideal to room with a postoperative patient who needs a controlled environment for recovery.
C. Streptococcal pharyngitis is a contagious infection caused by Group A Streptococcus. To minimize the risk of postoperative infection, it is generally advisable to avoid placing a postoperative patient in the same room with someone who has a contagious infection. This would help in preventing the potential spread of infection to the postoperative child, who is already vulnerable.
D. A child with a new diagnosis of type 1 diabetes mellitus requires education and management of blood glucose levels. This condition is not contagious and does not pose a risk of infection to a postoperative patient. Therefore, the needs of this child align well with the postoperative child, as both are managing chronic conditions rather than dealing with infections.
Correct Answer is D
Explanation
A. The role of the AP includes tasks like recording the amount of fluids the client consumes and produces (urine, emesis, etc.), but it does not require specialized nursing knowledge.
B. Postmortem care involves preparing the body after death for the family or transfer to the morgue. This task can be performed by an AP.
C. While this task can be delegated to both LPNs and APs, it is often considered a basic task that can be assigned to the AP to free up the LPN for more complex patient care responsibilities.
D. Inserting an NG tube is a skill that LPNs are trained to perform, and it is within their scope of practice in many states and healthcare settings, provided they have received the appropriate training and certification.
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