NCLEX-RNManagement of CareMedium
A charge nurse is making assignments for the shift. Which client is most appropriate to assign to a licensed practical nurse (LPN) working under RN supervision?
- AA client requiring initial teaching about a new tracheostomy
- BA client who was just admitted with new-onset chest pain
- CA client with a stable colostomy who needs pouch reinforcement
- DA client receiving a first-time blood transfusion
Show answer & explanationAnswer & explanation
Correct answer: C. A client with a stable colostomy who needs pouch reinforcement
LPNs can care for stable clients with established plans of care, including reinforcing an existing colostomy pouch. New admissions requiring assessment, first-time blood administration, and initial teaching all require RN-level judgment and are outside the LPN scope in most jurisdictions.
Why the other options are wrong
- A. Initial teaching requires RN-level assessment of learning needs and judgment.
- B. A new unstable admission requires RN assessment and clinical judgment.
- D. Initiating blood products requires RN assessment for transfusion reactions.
LPN Scope of Practice
LPNs care for stable clients with predictable outcomes, performing tasks such as reinforcing teaching, administering routine meds, and providing established care under RN supervision.
- LPNs cannot perform initial assessments or admission histories
- LPNs cannot administer blood products or IV push medications in most states
- Stable, chronic, predictable clients are appropriate LPN assignments
Memory trick: LPN = stable, LPN reinforces, RN initiates