Health Promotion and Maintenance
44. An LVN/LPN from an orthopedic unit is floated to a child health unit. In creating assignments, which child should the charge nurse avoid assigning to the LVN/LPN?
Health Promotion and Maintenance
44. An LVN/LPN from an orthopedic unit is floated to a child health unit. In creating assignments, which child should the charge nurse avoid assigning to the LVN/LPN?
. A 10-year-old in traction for a fractured femur.
. An 8-year-old child with Legg-Calvé-Perthes disease.
. A 4-year-old with osteogenesis imperfecta.
. A teenager receiving chemotherapy for osteosarcoma.
Test-Taking Tip
Note the key word "avoid" and look for the incorrect answer as the best choice. When determining the proper assignment for this LPN/LVN, consider the scope of practice. In this case, only the child receiving chemotherapy would require too much expertise and too high a level of assessment.
Content Area: Child Health, Musculoskeletal; Integrated Process: Nursing Process, Analysis; Cognitive Level: Analysis; Client Need/Subneed: Safe and Effective Care Environment/Management of Care/Delegation
Health Promotion and Maintenance
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Answer 1 is incorrect because the LVN/LPN should have experience caring for clients in traction for bone fractures. Answer 2 is incorrect because the LVN/LPN has experience caring for clients with alterations in bone health. Legg-Calvé-Perthes disease involves necrosis of the femoral head. Answer 3 is incorrect because the LVN/LPN floated from the orthopedic unit may have experience caring for clients with osteogenesis imperfecta since this is a chronic condition. Answer 4 is correct because the child with osteosarcoma is receiving chemotherapy, which requires continuous monitoring for complications. This child would not be an appropriate client for the LVN/LPN due to the need for frequent assessment by a registered nurse.