A registered nurse is assigning clients in a medical unit. Which client should remain with the registered nurse rather than be assigned to a licensed practical nurse?
Correct answer: C. A client returning from surgery with new confusion and hypotension
- A. A client with a healed incision needing a routine dressing change
- B. A client with stable asthma receiving scheduled treatments
- C. A client returning from surgery with new confusion and hypotension
- D. A client with chronic arthritis needing assistance with hygiene
Explanation
New confusion and hypotension indicate an unstable change that requires RN assessment and intervention. The other clients have more predictable needs that may fit the LPN role, subject to policy.
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About Delegation and Assignment (NCLEX)
Delegation and assignment cover how the registered nurse allocates care according to patient stability, task complexity, staff competence and legal scope. The five rights of delegation, supervision, communication and follow-up are linked to the difference between an RN, LPN or LVN, and unlicensed assistive personnel, while accountability for overall nursing care remains with the RN.
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50 free Delegation and Assignment (NCLEX) MCQs from International Nursing Practice, each with the correct answer and an explanation. Unlimited attempts, no account needed.
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