The charge nurse in an extended care facility is organizing unit activities for the day. Which action may be safely delegated to the practical nurse (PN)?
Explanation & Rationale
Rationale: A. Evaluate client teaching through return demonstration: Evaluation of client teaching is a higher-level assessment requiring clinical judgment, which is within the RN's scope of practice. Practical nurses can reinforce teaching, but they do not evaluate comprehension independently. B. Establish blood pressure parameters for client monitoring: Setting parameters for vital sign monitoring involves critical thinking and interpretation of the care plan or medical orders. This is the responsibility of the RN and should not be assigned to a PN. C. Evaluate a staff member providing wound care: Staff evaluations, including assessing competency in procedures, are leadership responsibilities typically held by RNs or supervisors, not PNs. Delegating this to a PN may compromise quality assurance. D. Measure the client's body weight each morning: This is a stable and routine task involving the collection of objective data. PNs are competent to perform and document such tasks, especially in long-term care where trends in weight are often monitored.