A patient had a non–ST-segment-elevation myocardial infarction (NSTEMI) 3 days ago
Which nursing intervention included in the plan of care is most appropriate for the registered nurse (RN) to delegate to an experienced licensed practical/vocational nurse (LPN/LVN)?
a. Evaluation of the patient's response to walking in the hallway
b. Completion of the referral form for a home health nurse follow-up
c. Education of the patient about the pathophysiology of heart disease
d. Reinforcement of teaching about the purpose of prescribed medications
ANS: D
LPN/LVN education and scope of practice include reinforcing education that has previously been done by the RN. Evaluating the patient response to exercise after a NSTEMI requires more education and should be done by the RN. Teaching and discharge planning/ documentation are higher level skills that require RN education and scope of practice.
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