Staffing changes on an acute care unit require the nursing team to rapidly redistribute client assignments. The team consists of a registered nurse (RN), a licensed practical nurse (LPN), and an assistive personnel (AP). Which action taken by the LPN demonstrates safe practice regarding delegation, scope of practice, and client rights?
- AAccepting an assignment to independently manage a client who was just transferred from the intensive care unit with unresolved sepsis
- BDescribing the alternative treatment options and procedural risks to a client prior to witnessing their signature on the consent form
- Assigning the AP to ambulate a client who is two days post-appendectomy, while the LPN conducts focused data collection on a client's resolving pneumoniaAnswer
- DDiscussing a client's pending discharge needs and new medication regimen with the RN while riding together in a crowded public elevator
Answer
Assigning the AP to ambulate a stable postoperative client while the LPN conducts focused data collection on a client with a resolving condition.
The correct answer demonstrates appropriate task delegation and adherence to the LPN/VN scope of practice. Ambulating a stable postoperative client is a routine, standardized task that falls squarely within the AP's scope. Furthermore, conducting focused data collection on a client with a resolving, stable condition (like resolving pneumonia) is an appropriate expectation for the LPN/VN, as it relies on established baselines and does not require the initial, comprehensive assessment skills reserved for the RN.
Step-by-Step Solution
Key Concept
Delegation and LPN/VN Scope of Practice