Match each clinical task with the most appropriate nursing team member and the rationale based on their scope of practice.
- Developing the initial nursing care plan for a newly admitted clientRequires RN completion due to the need for comprehensive assessment and planning
- Administering intravenous (IV) push pain medication to a clientRequires RN completion as this medication route is typically outside LPN/VN scope
- Performing a sterile dressing change on a client's chronic woundAppropriate for LPN/VN assignment as it involves a standard, predictable procedure
- Assisting a stable, ambulatory client with morning hygieneAppropriate for UAP delegation as it involves basic, routine activities of daily living
Answer
Initial care planning matches with RN comprehensive assessment. IV push medication matches with RN scope restriction. Sterile dressing matches with LPN/VN predictable procedure. Morning hygiene matches with UAP routine activities.
Tasks must be assigned based on the legal scope of practice, the stability of the client, and the complexity of the intervention. The RN must handle initial assessments and high-acuity tasks like IV push medications. The LPN/VN is fully capable of performing sterile procedures and reinforcing established care, while the UAP is responsible for routine ADLs that do not require nursing judgment.
Step-by-Step Solution
Key Concept
Delegation and Scope of Practice