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    Hesi lpn exit proctored examQuestion 49
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    Hesi lpn exit proctored exam
    Select All That Apply

    The practical nurse (PN) and unlicensed assistive personnel (UAP) are caring for four clients. Which tasks can the PN assign to the UAP without providing direct supervision? (Select all that apply.

    Explanation & Rationale

    A. Provide sips of water to a client who is 4 hours postoperative: Offering fluids is within the UAP’s scope of practice as a non-invasive, routine activity. It does not require clinical judgment or direct supervision by the PN. B. Assist a client to the car for discharge home: Assisting with ambulation or mobility for discharge is appropriate for a UAP. It involves physical support and safety measures but does not require clinical decision-making or supervision during the task. C. Administer oral medications to a client with paraplegia: Medication administration requires assessment, knowledge of indications, contraindications, and monitoring for adverse effects, which is beyond the UAP’s scope. The PN must perform this task. D. Collect a voided specimen before client is catheterized: Collecting a non-invasive urine specimen is appropriate for the UAP. It involves standard precautions and proper labeling but does not require clinical judgment or supervision. E. Insert a foley catheter in a frail elderly client: Catheter insertion is an invasive procedure requiring sterile technique and assessment skills. This task must be performed by licensed nursing personnel and cannot be delegated to a UAP.

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