During shift handoff on a busy nephrology and general medical unit, a registered nurse (RN) is determining safe delegations for the nursing staff. Which of the following specific client care activities is appropriate to assign to a practical/vocational nurse (LPN/VN)?
- ACompleting the comprehensive admission assessment and formulating the initial care plan for a client arriving from the emergency department.
- BAdministering a direct intravenous (IV) push dose of a loop diuretic to a client exhibiting signs of acute fluid overload.
- Performing a focused data collection, including lung sound auscultation, for a stable client with a history of heart failure.Cevap
- DDetailing the risks, benefits, and alternative treatments of a scheduled kidney biopsy to obtain the client's informed consent.
Cevap
Performing a focused data collection, including lung sound auscultation, for a stable client with a history of heart failure.
The correct answer involves performing a focused data collection for a stable client. The LPN/VN scope of practice includes gathering ongoing, focused data (such as auscultating lung sounds) on clients who are clinically stable with predictable outcomes. This contrasts directly with the RN's exclusive responsibility for initial comprehensive assessments and evaluation of unstable conditions.
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The LPN/VN role centers on focused data collection and caring for stable clients, whereas the RN is responsible for comprehensive assessments, managing unstable clients, and complex clinical evaluation.