A nurse delegates tasks to a licensed practical nurse (LPN) and an assistive personnel (AP).
When admitting a client who is experiencing acute liver failure and who has ascites and an NG tube, which of the following tasks is most appropriate for the nurse to delegate to the LPN?<\/p>\n\n\n\n
A.
Insert an indwelling catheter if the client has not voided in 3 hr.<\/p>\n\n\n\n
B.
Obtain the abdominal girth now and every 4 hr.<\/p>\n\n\n\n
C.
Assess and document the level of consciousness every hour.<\/p>\n\n\n\n
D.
Measure the amount of gastric drainage every 2 hr.<\/p>\n\n\n\n
The Correct answer and Explanation is:<\/mark><\/strong><\/p>\n\n\n\n The most appropriate task for the nurse to delegate to the licensed practical nurse (LPN) in this scenario is:<\/p>\n\n\n\n D. Measure the amount of gastric drainage every 2 hr.<\/strong><\/p>\n\n\n\n When delegating tasks within a nursing team, it is crucial to consider the scope of practice of the individuals involved and the complexity of the tasks. In this case, we have a client experiencing acute liver failure, ascites, and an NG tube, which requires careful monitoring and management.<\/p>\n\n\n\n In summary, option D is the most appropriate task to delegate to the LPN, as it aligns with their training and scope of practice while allowing the RN to focus on more complex assessments and interventions required for a client with acute liver failure.<\/p>\n","protected":false},"excerpt":{"rendered":" A nurse delegates tasks to a licensed practical nurse (LPN) and an assistive personnel (AP).When admitting a client who is experiencing acute liver failure and who has ascites and an NG tube, which of the following tasks is most appropriate for the nurse to delegate to the LPN? A.Insert an indwelling catheter if the client […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-142588","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/142588","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=142588"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/142588\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=142588"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=142588"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=142588"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}Explanation:<\/h3>\n\n\n\n
\n
This task requires a more advanced level of nursing judgment and assessment skills. While LPNs are trained to perform catheterizations, the complexity of assessing the need for such an intervention in a patient with acute liver failure\u2014where fluid management and potential complications such as infection or trauma must be carefully considered\u2014means this task should be performed by an RN.<\/li>\n\n\n\n
While this task can be performed by an LPN, it also requires a level of assessment to interpret the significance of the measurements in the context of the patient’s condition. Given the acute nature of liver failure and the risk of complications, this is best done by the RN.<\/li>\n\n\n\n
This is a critical nursing assessment, particularly in a patient with liver failure, where hepatic encephalopathy may occur. The responsibility for performing and interpreting neurological assessments lies primarily with the RN.<\/li>\n\n\n\n
This task is appropriate for the LPN. Measuring gastric drainage is a routine task that falls within the LPN’s scope of practice. It involves technical skills that do not require complex clinical judgment, making it suitable for delegation. Furthermore, tracking the amount of gastric drainage is essential for assessing the patient’s nutritional status and the functioning of the NG tube, which is crucial in managing a client with liver failure.<\/li>\n<\/ol>\n\n\n\n