NCLEX-RN

Category - Care Management

A nursing team consists of an RN, an LPN, and a nursing assistant. The nurse should assign which of the following tasks to the LPN?
  1. Giving IV-push medication to a 50-year-old client with chondrosarcoma complaining of pain
  2. Preparing a 70-year-old client with diabetes mellitus for discharge
  3. Assisting a 30-year-old client with a long leg cast asking for assistance during ambulation
  4. Performing a dressing change on a 35-year-old client post-appendectomy
Explanation
Answer: D - A stable client with an expected outcome is an appropriate assignment for the LPN. Sterile dressing change is within the LPN’s scope of practice. Options A and B require the skills of a registered nurse: Option A requires IV-push medication and Option B requires client teaching. Option C is a standard unchanging procedure and it may be assigned to the nursing assistant. Nursing assistants can assist nurses in performing procedures that require sterile technique; however, they are not trained to do these procedures themselves.
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