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 considering patient safety and staff competency?

Accepted Answer

보기 2: Assign an experienced LPN to provide routine medication administration and basic care for two stable

Appropriate delegation matches patient needs with staff competency. Assigning an experienced LPN to stable patients for routine care is safe and within scope, allowing RNs to handle complex cases. Other options involve high-risk patients or tasks outside staff scope, compromising safety.

Answer

보기 1: Assign a newly graduated RN to care for a patient with multiple drips requiring frequent titration and monitoring

Answer

보기 3: Delegate a nursing assistant to perform initial patient assessments and document findings for admission

Answer

보기 4: Assign an inexperienced RN to independently manage a patient in respiratory distress and a patient with complex needs

Task	Can be delegated to LPN?	Can be delegated to UAP?	Rationale
Administer routine oral medications	Yes (in most states)	No	Medication administration requires licensure.
Perform a focused respiratory assessment on a new patient with cough	No	No	Initial and ongoing assessment is an RN function.
Ambulate a post-op day 1 patient	Yes	Yes	This is a non-invasive, routine activity.
Monitor and titrate a Nitroglycerin drip for chest pain	No	No	Titration of potent IV medications requires advanced RN judgment and competency.

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A charge nurse is making delegation assignments for the evening shift. Which assignment demonstrates the most appropriate delegation considering patient safety and staff competency?

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