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Management of Care · Multiple choice · Generate solutions
The charge nurse is making assignments. Which client is most appropriate to assign to an LPN?
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Correct answer: C
LPNs care for stable clients with predictable outcomes and can perform sterile procedures such as intermittent catheterization. A new admission with chest pain needs RN assessment, initial discharge teaching on a high-alert drug is an RN responsibility, and a fresh tracheostomy is an unstable, high-risk airway.
Source: NCSBN. National Guidelines for Nursing Delegation (2019); state LPN scope
Work every 'who first' item through the same ladder: airway, breathing, circulation; then unstable before stable, acute before chronic, actual before potential.
Delegation: the RN keeps initial assessment, care planning, teaching, evaluation, and any unstable client. LPNs take stable, predictable clients. Assistive personnel take routine tasks such as vital signs on stable clients, hygiene, feeding without swallowing risk, and ambulation.
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