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91Ó°ÊÓ

Which client task is most appropriate for the licensed practical nurse (LPN) on the oncology unit? A. Sterile wound care B. Administer blood product C. Administer IV push pain medication D. Perform discharge teaching

Short Answer

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A. Sterile wound care B. Administer blood product C. Administer IV push pain medication D. Perform discharge teaching Answer: A. Sterile wound care

Step by step solution

01

Identify the role and responsibility of an LPN

Licensed Practical Nurse (LPN) is a healthcare professional who works under the supervision of a registered nurse or doctor. Their scope of practice includes providing basic care, administering medications, and performing simple clinical procedures. They also assist in the implementation of the care plan and help in documenting vital signs. It is important to keep in mind that each state has its specific rules and regulations on what LPNs are allowed or not allowed to perform.
02

Evaluate the options

A. Sterile wound care LPNs are trained in providing sterile wound care, and thus, it's appropriate for them to perform this task. However, let's analyze other options and make sure that there isn't any other more appropriate task for the LPN. B. Administer blood product Generally, blood product administration is outside the scope of practice for LPNs and is typically a responsibility of registered nurses (RNs). This option can be ruled out. C. Administer IV push pain medication Administering IV push medications is a higher-level skill typically reserved for RNs, as it requires a more extensive understanding of pharmacology and advanced assessment skills. This option can also be ruled out. D. Perform discharge teaching While LPNs can contribute to the discharge process and provide some basic instructions, they usually aren't responsible for the comprehensive discharge teaching, which may include medication management, follow-up care, and other essential information, which is typically performed by the RNs. This option can be ruled out as well.
03

Choose the most appropriate option

After evaluating each option, the most appropriate task for the licensed practical nurse (LPN) on the oncology unit is: A. Sterile wound care The other options (B, C, and D) involve tasks that are usually reserved for registered nurses (RNs) or are beyond the LPN's scope of practice.

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Key Concepts

These are the key concepts you need to understand to accurately answer the question.

Nursing Scope of Practice
The nursing scope of practice refers to the actions, procedures, and processes that a nurse is permitted to undertake under professional guidelines. It outlines the responsibilities and limitations specific to different nursing roles. For a Licensed Practical Nurse (LPN), this scope is defined by state regulations and can vary slightly. It's essential to understand these guidelines to ensure patient safety and professional compliance. LPNs are typically involved in basic nursing care, which includes tasks like monitoring vital signs, assisting with personal hygiene, and providing basic wound care. Their scope does not usually cover more complex procedures such as administering blood products or IV push medications, which are typically within the realm of Registered Nurses (RNs). By adhering to these protocols, healthcare facilities ensure quality care and legal compliance.
Licensed Practical Nurse
A Licensed Practical Nurse (LPN) is a vital part of the healthcare team who provides basic nursing care under the supervision of registered nurses (RNs) or doctors. LPNs undergo practical training that equips them with essential skills to support patient care effectively. These professionals are responsible for various tasks, including:
  • Monitoring vital signs such as heart rate and blood pressure.
  • Assisting patients with daily living activities like bathing and dressing.
  • Performing routine tasks like changing dressings or inserting catheters.
LPNs play a crucial role in the continuum of care, ensuring that patients receive constant attention and assistance, especially in long-term and community care settings. Their ability to work collaboratively with RNs and other healthcare providers is essential in delivering comprehensive patient care.
Oncology Nursing
Oncology nursing is a specialized field dedicated to caring for patients who are undergoing treatment for cancer. Nurses in this specialty, including LPNs, play a significant support role in providing compassionate care to patients and assisting with their complex needs. In an oncology unit, LPNs may be involved in activities such as:
  • Helping with the management of side effects related to cancer treatments.
  • Providing emotional support and education to patients and families.
  • Assisting in the coordination of care, ensuring timely follow-ups and treatment adherence.
In such environments, the roles of LPNs may also overlap with those of other healthcare professionals, requiring a robust understanding of cancer care protocols and teamwork to meet patients’ needs effectively.
Nursing Delegation
Nursing delegation is a critical process where registered nurses (RNs) assign tasks to other healthcare personnel, such as LPNs, based on their competencies and the scope of their practice. This practice maximizes healthcare delivery efficiency while ensuring safety and compliance with healthcare standards. The key to effective delegation involves:
  • Understanding the skill sets and competencies of the personnel to whom tasks are delegated.
  • Ensuring that delegated tasks fall within the subordinate's scope of practice.
  • Providing clear instructions and appropriate supervision while maintaining accountability.
Through proper delegation, the workload is balanced, and patient care is optimized. It promotes collaboration among team members and enhances the quality of care in dynamic clinical settings.

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Most popular questions from this chapter

A client on oncology has a sodium level of \(120 \mathrm{mEq} / \mathrm{L}\). Which sympton does the nurse expect the client to exhibit? A. Lethargy B. Increase in saliva C. Agitation D. Low heart rate

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A nurse is caring for a client scheduled for a CT scan with contrast. Which action is most appropriate? A. Checking the history for and asking the patient about metal or clips in or on the body B. Keeping the patient \(\mathrm{NPO}\) after midnight the night before the procedure C. Assessing the client's hemoglobin and hematocrit D. Checking the client's creatinine level

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