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    Foundation Of Nursing Proctored Exam ( University Of Texas)

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    Question: 1 of 38Foundation of Nursing Proctored Exam ( University of Texas)
    A nurse is assigning client care to an RN and an LVN. Which of the following tasks must they assign to an RN only and NOT to an LVN. All parts of the answer must be restricted to an RN only. (Select all that apply)

    Select all that apply

    Explanation
    Choice A reason: Creating a plan of care for a stroke client requires RN-level critical thinking, assessment, and prioritization, which are outside the LVN scope. RNs develop individualized plans based on complex patient needs, ensuring comprehensive recovery strategies. Assigning this to an LVN risks inadequate planning, potentially compromising stroke recovery outcomes, critical to avoid in nursing delegation. Choice B reason: Assessing a pressure injury involves RN judgment to evaluate wound stage, complications, and treatment needs, beyond LVN scope. RNs ensure accurate staging and care adjustments, critical for preventing infection or deterioration. Assigning assessment to an LVN risks misdiagnosis or delayed intervention, potentially worsening outcomes, essential to prevent in wound care management. Choice C reason: Oral suctioning for pneumonia is within LVN scope, as it is a technical skill not requiring complex assessment. RNs may perform it but can delegate to LVNs. Assuming RN-only assignment risks underutilizing LVN skills, potentially overburdening RNs, critical to avoid in efficient delegation while ensuring safe client care. Choice D reason: Administering nasogastric tube feeding is a technical task within LVN scope, not requiring RN-only judgment. LVNs are trained to perform this safely under protocol. Assigning it to RNs only risks inefficient staffing, potentially delaying care, critical to prevent in ensuring timely nutrition delivery and balanced workload in nursing practice. Choice E reason: Inserting a urinary catheter is within LVN scope in many states, as it is a standardized procedure not requiring RN-level assessment. Assuming RN-only assignment risks inefficient delegation, potentially delaying relief for urinary retention, critical to avoid in ensuring timely care and optimal staff utilization in nursing practice.
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