The nurse is caring for several clients, and has unlicensed assistive personnel (UAP) and LPN/LVN assisting. Which client should the nurse delegate to the LPN/LVN as opposed to the UAP?
1. Assisting the health care provider with performance of a lumbar puncture
2. Collecting and testing a routine urine specimen for sugar, protein, and specific gravity
3. Testing stool for the presence of occult blood
4. Collecting a sterile urine specimen by straight-catheterizing the client
4
Rationale 1: The nurse should assist the health care provider with collection of cerebrospinal fluid because the client must be assessed during this procedure, and only the RN can assess the client safely.
Rationale 2: The nurse should delegate the routine urine specimen to the UAP.
Rationale 3: The nurse should delegate the stool specimen to the UAP.
Rationale 4: The nurse can safely delegate performance of a straight catheterization to collect a sterile urine specimen to the LPN/LVN who is educated in the use of sterile technique.
Global Rationale: The nurse can safely delegate performance of a straight catheterization to collect a sterile urine specimen to the LPN/LVN who is educated in the use of sterile technique. The nurse would delegate the routine urine specimen and stool specimen test to the UAP. The nurse should assist the health care provider with collection of cerebrospinal fluid because the client must be assessed during this procedure, and only the RN can assess the client safely.
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