A nurse and an experienced licensed practical nurse (LPN) are caring for a group of clients. Which of the following tasks should the nurse delegate to the LPN? (Select all that apply.)

A. Obtain vital signs from a client who is 6 hr postoperative: LPNs can perform standard data collection and monitoring on stable clients. A client 6 hours post-op is generally considered stable (unlike a client 1 hour post-op). B. Administer a tap-water enema to a client who is preoperative: Administering enemas is a standard skill within the scope of practice for an LPN. It involves a procedure rather than complex assessment. C. Catheterize a client who has not voided in 8 hrs: Insertion of a urinary catheter is a sterile skill that LPNs are trained to perform. D. Initiate a plan of care for a client who is postoperative from an appendectomy: Initiating a plan of care requires nursing judgment and assessment. While LPNs can contribute to the plan or suggest changes, the creation and initiation of the care plan is the responsibility of the RN. E. Provide discharge instructions to a confused client's spouse: Discharge instructions involve teaching. While LPNs can reinforce teaching already provided, the primary education-especially for discharge-must be done by the RN (Recall the acronym EAT: RNs do Evaluation, Assessment, and Teaching).