A registered nurse (RN) and experienced licensed practical nurse (LPN) are caring for a group of clients. Which of the following is inappropriate for the RN to delegate to the LPN?

Choice A reason: Administering a tap-water enema is a skill within the scope of practice for an experienced LPN. This procedure is routine, does not require complex assessment, and can be safely delegated. The RN should ensure the LPN is competent in performing the task, but it is appropriate to delegate. Choice B reason: Initiating a plan of care is a responsibility that requires comprehensive assessment, critical thinking, and clinical judgment. This task is reserved for the RN because it involves synthesizing data, setting priorities, and establishing individualized goals for the client. Delegating this to an LPN would be inappropriate, as LPNs can contribute to the plan but cannot independently initiate it. Choice C reason: Catheterization of a client who has not voided in 8 hours is a technical skill that falls within the LPN’s scope of practice. LPNs are trained to perform catheterization safely, provided the RN has assessed the client and determined the need for the procedure. Therefore, this task can be delegated appropriately. Choice D reason: Obtaining vital signs from a postoperative client is a routine task that LPNs can perform. Vital signs collection does not require advanced assessment skills, though interpretation of abnormal findings remains the RN’s responsibility. Delegating this task is appropriate and supports efficient workflow.