At the beginning of the shift, an RN is preparing assignments for a licensed practical nurse (LPN) and an assistive personnel (AP). Which of the following tasks should the nurse assign to the LPN?
Measuring a client's I & O
Providing postmortem care for a client
Obtaining a client's weight
Inserting a nasogastric tube for a client
The Correct Answer is D
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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Related Questions
Correct Answer is ["A","B","E"]
Explanation
A. This task can be delegated to AP as it involves physical assistance and does not require nursing judgment.
B. Feeding a client who has regained swallowing ability can be delegated to AP. However, the nurse should assess the client's ability to swallow safely before delegation.
C. This task requires patient education and assessment, which are within the scope of nursing practice and cannot be delegated.
D. Patient education requires nursing judgment and cannot be delegated to AP.
E. Bathing a client is a routine task that can be delegated to AP, as long as the AP has received appropriate training and the client's condition is stable.
Correct Answer is B
Explanation
A. This statement reflects a misunderstanding of delegation principles. Typically, the original delegating nurse is responsible for ensuring that the task is completed correctly and safely. APs are not authorized to re-delegate tasks to other APs. The nurse must ensure that the task is assigned appropriately and directly to the right individual, considering their qualifications and experience.
B. This statement demonstrates an understanding of proper delegation practices. When delegating tasks, the nurse should indeed consider the AP's level of experience and competence. Delegating tasks based on the AP's skills ensures that the tasks are performed safely and effectively, aligning with the principle that delegation should be based on the qualifications and experience of the person to whom the task is assigned.
C. This statement reflects a misunderstanding of accountability in delegation. When a nurse delegates a task to an AP, the nurse does not relinquish accountability for client outcomes. The nurse remains accountable for ensuring that the task is delegated appropriately and that the care provided meets professional standards.
D. This statement indicates a misunderstanding of the AP’s role. APs typically do not provide client
education, as this requires specialized knowledge and assessment skills that are within the scope of practice of licensed nurses. Client education, especially about self-care, is generally performed by registered nurses who can assess the client’s understanding and provide detailed instructions.
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