The registered nurse (RN) is orienting a new RN to the charge nurse role.
When delegating tasks, which task delegated to the licensed practical/vocational nurse (LPN/VN) would require follow-up from the charge nurse?
The registered nurse (RN) is orienting a new RN to the charge nurse role.
When delegating tasks, which task delegated to the licensed practical/vocational nurse (LPN/VN) would require follow-up from the charge nurse?
A. Obtaining an occult stool sample for a client with ulcerative colitis.
[6%]
B. Assessing a newly admitted client with chest pain.
[81%]
C. Reinforcing teaching to a client newly diagnosed with diabetes mellitus.
[9%]
D. Providing pin care for a client with external fixation of the wrist.
[4%]
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 B is correct. The scope of practice for an LPN/VN allows for data collection, not assessment (which requires analysis). It would be inappropriate to delegate this to the LPN and require follow-up from the charge nurse.
Choice A is incorrect. Delegating this task to the LPN/VN is appropriate, as an occult stool test can be performed at the bedside by applying a small stool sample to a test card.
Choice C is incorrect. LPNs/VNs may reinforce teaching to clients. This includes validating a client's understanding of content taught by the RN.
Choice D is incorrect. Pin care is performed for individuals with an external fixation device. Pin care is completed with sterile gauze and saline to prevent osteomyelitis. This is an appropriate task to be delegated to an LPN/VN.
Related Videos
2 Key Topics
LPN Delegation
15.7 Delegation
Additional Info
✓ When making client assignments, the nurse should always assign the most unstable client to the RN. This also involves clients requiring initial assessments or discharge teaching.
✓ The LPN may reinforce teaching, data collection, and care for clients with low acuity illnesses.
✓ Additionally, the LPN may perform sterile procedures, administer medications via gastrostomy tubes, and monitor an existing blood transfusion.
