# A nurse on a medical-surgical unit is planning assignments for the oncoming shift. The team includes a licensed practical nurse (LPN) and an assistive personnel (AP). Which of the following clients should the nurse assign to the LPN?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=505774&lang=en  
> language: en  
> subject: Management of Care  
> category: MOC

## Question

A nurse on a medical-surgical unit is planning assignments for the oncoming shift. The team includes a licensed practical nurse (LPN) and an assistive personnel (AP). Which of the following clients should the nurse assign to the LPN?

## Option

1. A stable client with COPD who needs reinforcement of the pursed-lip breathing technique taught yesterday. **✔ Correct answer**
2. A client who was admitted 1 hour ago with acute onset of confusion and a blood glucose of 45 mg/dL.
3. A client who is 2 days postoperative after a total hip arthroplasty and requires initial ambulation with a walker.
4. A client with heart failure who has new crackles in the lung bases and an oxygen saturation of 88% on room air.

**Correct answer: 1**

## Explanation

The LPN can reinforce previously taught information, such as pursed-lip breathing for a client with COPD who is being discharged. The client with acute confusion and hypoglycemia is unstable and requires initial assessment by the RN. Initial ambulation after surgery involves evaluation of a new activity, which is the RN's responsibility. The client with heart failure and new crackles with low oxygen saturation is unstable and requires immediate RN assessment and intervention.

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