A registered nurse (RN) cares for clients on a surgical unit. Which clients should the RN delegate to a licensed practical nurse (LPN)? (Select all that apply.)
a. A 32-year-old who had a radical neck dissection 6 hours ago
b. A 43-year-old diagnosed with cancer after a lung biopsy 2 days ago
c. A 55-year-old who needs discharge teaching after a laryngectomy
d. A 67-year-old who is awaiting preoperative teaching for laryngeal cancer
e. An 88-year-old with esophageal cancer who is awaiting gastric tube placement
ANS: B, E
The nurse can delegate stable clients to the LPN. The client who had a biopsy 2 days ago and the client who is awaiting gastric tube placement are stable. The client who is 6 hours post-surgery is not yet stable. The RN is the only one who can perform discharge and preoperative teaching; teaching cannot be delegated.
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