The nurse is planning care for a client who was just admitted with acute glomerulonephritis. The nurse should instruct the unlicensed assistive personnel to implement which action?

Rationale:
A. Client 4 is appropriate. The LPN administered oral Warfarin, which is within the LPN scope of practice. Providing a soft toothbrush by the CNA is also appropriate for a client on anticoagulation therapy to reduce bleeding risk. Delegation and supervision are appropriate in this scenario.

B. Client 2 is inappropriate. The RN documented insertion of a nasogastric tube (NGT) and verification of placement by chest x-ray. While RN actions are appropriate, the issue here is not delegation but documentation clarity—however, this scenario does not involve improper delegation to LPN or CNA. The question focuses on delegation errors, and this entry lacks clarity about supervision or role distribution in a complex intervention, making it incomplete in evaluating delegation and therefore problematic.

C. Client 3 is inappropriate. A CNA was sent to the blood bank to pick up a unit of packed red blood cells (PRBCs). This is unsafe and outside the CNA’s scope of practice. Handling blood products requires proper training and adherence to strict protocols, typically performed by licensed personnel. This represents inappropriate delegation.

D. Client 5 is inappropriate. The admission assessment was completed by an LPN. Comprehensive initial assessments for newly admitted clients must be performed by an RN, as they require clinical judgment and critical thinking. This represents inappropriate delegation of an RN responsibility.

E. Client 1 is appropriate. The CNA obtained vital signs and assisted the client with toileting using a bedpan. These tasks fall within the CNA’s scope of practice, and the RN appropriately supervised and documented the care.

Rationale:
A. Collaboration involves both parties working together fully to find a solution that satisfies the needs of everyone without any party having to give up something significant. It seeks a win-win outcome rather than a partial give-and-take.

B. Compromising is a conflict resolution style in which both parties give up something to reach a mutually acceptable solution. This style balances assertiveness and cooperation, allowing each party to achieve part of their goal while conceding part of their position. It is often used when time is limited or when the goals are moderately important.

C. Avoidance involves ignoring or sidestepping the conflict rather than addressing it. No give-and-take occurs because both parties choose not to engage.

D. Accommodation occurs when one party gives in to the wishes or demands of another, often sacrificing their own needs. Only one side gives up something, not both.