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. Evaluating pain relief involves assessing the effectiveness of pain management, which requires clinical judgment, assessment skills, and an understanding of the client’s response to medication. This task involves interpreting changes in pain levels and making decisions about further interventions, which is beyond the scope of an AP’s responsibilities.
B. Wound irrigation involves a clinical procedure that requires specialized knowledge and skills, including understanding wound care techniques and infection control practices. This task requires a level of assessment and clinical decision-making that APs are not trained to perform.
C. Teaching a client about dietary changes, such as low-sodium foods, requires specialized knowledge about nutrition and the ability to tailor information to the client’s specific needs. This type of education involves clinical judgment and expertise in dietary management, which is not within the scope of an AP’s role.
D. Measuring and recording intake and output (I&O) involves tracking the volume of fluids consumed and excreted by a client. This task is a basic responsibility that APs are trained to perform, as it involves straightforward data collection without requiring clinical judgment. The recorded data can then be used by RNs or LPNs to make further clinical decisions.
Correct Answer is B
Explanation
A. This ethical principle directly addresses the idea of doing no harm. It is a fundamental obligation of healthcare professionals to protect patients from injury.
B. While related to doing good, beneficence focuses on actively promoting the well-being of patients. While important, it doesn't specifically address the concept of avoiding harm.
C. Fidelity refers to faithfulness and keeping promises. It is important in building trust but doesn't directly address the prevention of harm.
D. Justice is about fairness and equality in healthcare. While important, it doesn't specifically address the prevention of harm to an individual patient.
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