Which of the following statements made by the charge nurse indicates appropriate delegation? (Select all that apply.)
a. The LPN can delegate dressing changes to the nursing assistant.
b. The LPN can administer a DPT immuni-zation to a child.
c. The LPN can add a dose of Bleomycin to an existing IV infusion.
d. The nursing assistant can transfer a pa-raplegic patient from a wheelchair to the bed using a lift, as long as the nursing as-sistant has received training and demon-strated competency.
e. The nursing assistant can assess vital signs on a patient 15 minutes after the transfusion has been started.
B, D
Only nurses can delegate to other personnel. LPNs can administer routine medications, such as immunization, but not chemotherapy drugs (Bleomycin). A nursing assistant can transfer patients, provide basic hygiene measures, and assess vital signs. (The patient has been receiving blood, so the nurse needs to monitor the first 50 mL that is given because this is when a transfusion reac-tion is most likely to occur.)
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