A charge nurse is making delegation assignments for the evening shift. Which assignment demonstrates the most …

Question

A charge nurse is making delegation assignments for the evening shift. Which assignment demonstrates the most appropriate delegation based on safety priorities?

Accepted Answer

보기 1: Assigning an LPN to administer oral medications to a stable diabetic patient and monitor vital signs

Assigning an LPN to administer oral medications and monitor vital signs for a stable diabetic patient is appropriate delegation because these tasks are within LPN scope of practice for predictable, routine care. Other options involve tasks requiring RN-level assessment, critical thinking, or patient education, which are unsafe for LPN delegation.

Answer

보기 2: Delegating an LPN to perform initial admission assessments for two new patients being admitted from the emergency department

Answer

보기 3: Assigning an LPN to titrate insulin drips for a patient in diabetic ketoacidosis and monitor a patient with unstable vital signs

Answer

보기 4: Delegating an LPN to discharge a patient with new tracheostomy care instructions and teach family members about home care

Role	Key Responsibilities (Examples)	Tasks NOT to Delegate
Registered Nurse (RN)	Nursing process (Assessment, Diagnosis, Planning, Evaluation), Initial assessment, Patient education, IV medication titration, Complex wound care, Care of unstable patients	Cannot delegate the nursing process itself or tasks requiring independent nursing judgment.
Licensed Practical Nurse (LPN/LVN)	Administering oral/IM/SQ medications (scope varies by state), Monitoring stable patients, Performing routine procedures (e.g., Foley catheter insertion), Reinforcing RN-provided teaching	Cannot perform initial assessments, develop care plans, titrate IV drips, or provide complex discharge teaching.
Unlicensed Assistive Personnel (UAP/CNA)	Vital signs, ADLs (bathing, feeding), Ambulation, Specimen collection, Making beds	Cannot perform any sterile procedure, administer medications, or provide patient education.

Scenario	Appropriate to Delegate to LPN?	Rationale
Administering scheduled oral antibiotics to a post-op patient with normal vital signs.	Yes	Routine medication administration for a stable patient.
Assessing a post-op patient's pain level 30 minutes after administering IV analgesia.	No (RN task)	Requires evaluation of a nursing intervention, which is part of the nursing process.
Reinforcing teaching about diabetic foot care originally provided by the RN.	Yes	LPNs can reinforce established teaching but not initiate complex education.
Starting a blood transfusion for a patient with anemia.	No (RN task)	Initiating a blood transfusion requires verification and assessment skills reserved for the RN.

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A charge nurse is making delegation assignments for the evening shift. Which assignment demonstrates the most appropriate delegation based on safety priorities?

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