A charge nurse is preparing client assignments for the shift.
Which client is most appropriate to assign to a licensed practical/vocational nurse (LPN/VN)?
A charge nurse is preparing client assignments for the shift.
Which client is most appropriate to assign to a licensed practical/vocational nurse (LPN/VN)?
A. A client with a chest tube requiring frequent oral suctioning.
[27%]
B. A client receiving continuous IV heparin for a pulmonary embolism (PE).
[4%]
C. A client 24 hours post-abdominal surgery requiring daily wound care.
[67%]
D. A client with new-onset seizures awaiting diagnostic tests.
[2%]
Statistics
Subject/Lesson
Subject
Leadership & Management
Lesson
Assignment/Delegation
Client Need
Test Plan
Management of Care
Related Topic
Assignment, Delegation and Supervision
Item Type
Item Type
Analysis
Explanation
Choice C is correct. This client is stable and requires routine care that an LPN is trained to perform, such as administering medications, performing wound care, and monitoring for signs of infection.
Choice A is incorrect. An LPN can assist with some aspects of chest tube management, such as monitoring and reporting output or assisting with positioning. However, frequent oral suctioning for a client with a chest tube may indicate a compromised airway, requiring frequent assessment and critical thinking.
Choice B is incorrect. Clients receiving IV heparin require frequent monitoring for bleeding complications and ongoing evaluation of laboratory values. These assessments require the registered nurse's (RN) advanced knowledge and critical thinking to manage and adjust anticoagulation therapy appropriately.
Choice D is incorrect. New-onset seizures indicate an unstable condition requiring frequent monitoring, assessment, and potential intervention to manage airway, safety, and seizure activity.
Related Videos
4 Key Topics
Five Rights of Delegation
15.7 Delegation
LPN Delegation
15.7 Delegation
Additional Info
✓ Ensure the LPN receives clear, concise handoff communication regarding the client’s care needs.
✓ Supervise the LPN as needed, providing assistance if complications arise.
✓ Assign RNs to clients requiring critical assessments or those at higher risk for instability.
✓ Regularly evaluate team assignments to ensure equitable workload distribution.
