A nurse is planning care for four clients and is assigning tasks to a licensed practical nurse (LPN) and an assistive personnel (AP). Which of the following should the nurse assign to the LPN?
Measure 1&O for a client who has an indwelling urinary catheter.
Reinforce teaching to a client to begin taking enoxaparin at home following a hip arthroplasty.
Develop a plan of care for a client who has cholecystitis.
Complete an admission assessment for a client who has COPD.
The Correct Answer is B
Rationale:
A. Measuring I&O can be performed by an AP, as it does not require advanced skills or clinical judgment.
B. Reinforcing teaching about medication is within the LPN's scope of practice, as LPNs are trained to provide education and support based on the teaching provided by RNs or physicians.
C. Developing a plan of care is generally a responsibility of the RN, as it involves comprehensive assessment and planning.
D. Completing an admission assessment is a task for RNs due to its complexity and the need for a detailed clinical evaluation.
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Correct Answer is D
Explanation
A. Reassign the task to another nurse: While reassignment may be an option, it does not address the underlying issue. Ensuring the LPN has the knowledge and skill to complete the task is more effective in addressing both immediate and future concerns.
B. Report the issue to the unit manager: Reporting to the manager might be appropriate if the issue persists or reflects repeated non-compliance. However, verifying the LPN's competence and addressing the problem directly should be the first step.
C. Change the client’s dressing: While changing the dressing resolves the immediate client need, it does not address the issue of delegation or why the task was not completed. This approach bypasses the opportunity to assess and support the LPN.
D. Verify the LPN knows how to do a dressing change: Before taking further action, the charge nurse should determine why the task was not completed. If the LPN lacks the knowledge or skill to perform a dressing change, the nurse must address this gap and provide appropriate education or support to ensure client care is not compromised.
Correct Answer is A
Explanation
Rationale:
A. Performing blood glucose monitoring before breakfast is crucial for timely insulin administration and managing diabetes effectively.
B. Applying a condom catheter is important but can generally be done after more urgent tasks.
C. Delivering a clean urine specimen is important but less time-sensitive compared to blood glucose monitoring.
D. Feeding a client is important but may not be as urgent as tasks directly affecting medical management.
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