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Difficulty: MediumClient Care Assignments and Collaboration

An interprofessional team at a post-acute rehabilitation center is finalizing the daily care assignments. Which client is the most appropriate assignment for the licensed practical/vocational nurse (LPN/VN)?

  1. A
    A newly admitted client who needs an initial individualized care plan developed for fall prevention
  2. B
    An older adult client who developed sudden onset agitation and confusion during breakfast
  3. A client requiring a scheduled sterile dressing change for a healing sacral pressure injuryAnswer
  4. D
    A client requesting a detailed explanation of the surgical risks before signing a procedural consent form

Answer

The most appropriate assignment for the LPN/VN is the client requiring a scheduled sterile dressing change for a healing sacral pressure injury.
The client with a healing sacral pressure injury has a stable condition with predictable expected outcomes. Performing a scheduled, sterile dressing change is a standard clinical task that falls safely and legally within the established scope of practice for a licensed practical/vocational nurse (LPN/VN).

Step-by-Step Solution

1
Analyze the legal scope of practice for the LPN/VN.
The LPN/VN provides care for stable clients with predictable outcomes and performs standard nursing procedures.
Safe delegation and assignment must align with established legal boundaries and the nurse's educational competency.
2
Evaluate the acuity and specific needs of each client in the options.
One client requires initial care planning, one has an acute change in mental status, one needs procedure risk explanations, and one requires a routine sterile dressing change.
Identifying the complexity of required tasks helps distinguish between RN-level responsibilities and LPN/VN-appropriate tasks.
3
Select the assignment that represents a stable client with predictable care needs.
The client with the healing pressure injury is stable and requires a routine procedure within the LPN/VN scope.
Assigning stable clients to the LPN/VN ensures safe, effective, and legally compliant client care.

Key Concept

LPN/VN Scope of Practice and Safe Client Assignment
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Topics

Client Care Assignments and Collaboration

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