What aspects of K.D.'s care can you delegate to the licensed practical nurse (LPN)? Select all
that apply.
a. Providing instructions about a high-calorie, high-protein diet
b Repositioning K.D. and having him deep breathe every 2 hours
c. Developing a plan of care to improve K.D.'s oxygenation status
d. Reinforcing teaching with K.D. about good hand washing techniques
e. Administering first dose of IV trimethoprim-sulfamethoxazole (Bactrim)
f. Monitoring K.D.'s pulse oximetry readings and reporting values under 95%
b, d, f
The registered nurse cannot delegate any aspect of planning, including the development of
comprehensive approaches to the patient's care plan, or any health teaching. An LPN can reinforce
any teaching previously provided by the RN. The LPN can provide direct care by performing
treatments and procedures, including repositioning and deep breathing, and reporting patient
responses to the RN. The role of the LPN in IV therapy varies. Some states or institutions do not allow
LPNs to administer any IV medications; when this is within the LPN's role, however, the first dose of
any IV antibacterial medication must be administered by the RN.
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A client diagnosed with Huntington's disease asks about the progression of the disease. When explaining the long-term effects, the nurse states that:
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