NCLEX-RN

Category - Care Management

After dedication, hard work, and perseverance, Nina the New Nurse has earned her professional nurse license! She is starting her first day as a Registered Nurse! Nina the New Nurse is working on a med/surg. unit. She just met the nursing team she will lead: two LPNs and a nursing assistant. Nina the New Nurse is trying to determine the best delegation of duties to meet her client’s needs. Can you help Nina the New Nurse delegate her client assignment? Please choose the most appropriate assignment(s). (There may be more than one correct answer.)
  1. LPN: 27-year-old male client with a clamped, right chest tube. Off-going shift reports client is ambulating three times a day without assistance.
  2. NA: 60-year-old male, resolving bilateral pneumonia. Requires respiratory therapy four times a day. Requires assistance with bathing and ambulation.
  3. LPN: 50-year-old female with a history of Crohn’s disease. Requires assistance with colostomy care. Off-going shift reports no complaints of discomfort; possible discharge tomorrow.
  4. Nina the New Nurse, RN: 68-year-old female, newly diagnosed ovarian cancer. Off-going shift reports client is refusing medical treatment. Client and family are questioning diagnosis.
Explanation
Answer: A, C, and D - Stable clients with expected outcomes are appropriate for delegation to LPNs. Nina the New Nurse is correct in assigning the newly diagnosed client with ovarian cancer to herself. This client and her family require assessment, evaluation, advocacy, education, and therapeutic communication-the care of a professional nurse. Answer B is not correct unless Nina the New Nurse shares this assignment with the NA. Although this client seems stable, assessment of breath sounds and evaluation of effectiveness of respiratory therapy is required for this client. A nursing assistant does not perform assessment and evaluation.
Was this helpful? Upvote!
Login to contribute your own answer or details

Top questions

Related questions

Most popular on PracticeQuiz