Safe, Effective Care Environment
3. Which client would be appropriate for the RN to delegate to the LVN/LPN?
. A client who needs IV antibiotics and a central line dressing change.
. A client in liver failure who needs a blood transfusion.
. A client who is postop and needs IV pain medication.
. A client with GI bleeding who needs procedural sedation for a CT scan.
Test-Taking Tip
Look for the option that is different from the others. The correct option is the client who is the most stable, and within the scope of practice for the LVN/LPN.
Content Area: Management of Care, Delegation; Integrated Process: Nursing Process, Analysis; Cognitive Level: Application; Client Need/Subneed: Safe and Effective Care Environment/Management of Care/Delegation
Safe, Effective Care Environment
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Answer 1 is incorrect because central lines are not routinely part of the LVN/LPN scope of practice. Answer 2 is correct because the client's condition is not going to change suddenly. Answer 3 is incorrect because pain management and assessment of the drug response is done by the RN. Answer 4 is incorrect because this client is unstable and will need close assessment of sedation for the computed tomography (CT) scan.