A nurse is delegating tasks to a licensed practical/vocational nurse and an unlicensed assistive personnel for a client diagnosed with pneumonia. Which task is most appropriate to assign to the licensed practical/vocational nurse?
Monitoring oxygen saturation levels regularly and reporting changes to the nurse.
Providing the client with specific instructions on using an incentive spirometer.
Assessing lung sounds and reviewing changes in the client’s respiratory status.
Administering prescribed oral medications for the client’s pneumonia.
Delegation must align with the team member’s training and scope of practice. Licensed practical/vocational nurses are equipped to perform tasks such as administering oral medications and providing routine treatments, which the nurse is ultimately responsible for overseeing. Tasks involving patient assessment or education require the nurse’s clinical judgment and are beyond the scope of the LPN/VN. The option involving monitoring saturation levels regularly may seem reasonable, but monitoring in this way typically aligns with the duties of an assistive personnel under indirect supervision, not the LPN/VN.
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