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
Explanation
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.
Correct Answer is B
Explanation
A. A researcher focuses on conducting studies, gathering data, and contributing to the evidence base in healthcare. While researchers play a crucial role in advancing knowledge and improving practices, this role does not primarily involve organizing or coordinating the efforts of interprofessional team members for client care.
B. A care coordinator is responsible for organizing and managing the various aspects of a client's care across different healthcare professionals and services. This role involves ensuring that all team members work together efficiently to address the client’s needs, managing transitions of care, and facilitating communication among team members. In this context, the nurse who is organizing interprofessional team members to meet the needs of a client is performing the role of a care coordinator.
C. A counselor provides support, guidance, and therapeutic interventions to clients and their families. This role involves helping clients cope with emotional, psychological, or social issues. While important in client care, it is not primarily focused on organizing and coordinating the contributions of different professionals.
D. An educator is responsible for teaching clients, families, or healthcare staff about various aspects of health, illness, and care management. This role involves providing information and instruction but does not specifically include the task of organizing and coordinating the efforts of an interprofessional team.
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