Which client should the registered nurse care for personally rather than assign to a licensed practical nurse?
Correct answer: D. A client with sudden shortness of breath and an oxygen saturation decrease
- A. A client with a healing pressure injury needing a routine dressing change
- B. A client receiving scheduled oral medications for stable hypertension
- C. A client needing reinforcement of previously taught catheter care
- D. A client with sudden shortness of breath and an oxygen saturation decrease
Explanation
Sudden shortness of breath and declining oxygen saturation indicate an acute change that requires immediate registered nurse assessment and intervention. The other clients have stable, predictable needs suitable for assignment to a licensed practical nurse within scope.
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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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