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    ATI ns 550 Fundamentals proctored Exam

    Which of the following clients is most appropriate to delegate to the Licensed Practical/Vocational Nurse (LPN/LVN)?

    Explanation & Rationale

    Choice A reason: A newly admitted client needing wet-to-dry dressing changes requires initial wound assessment and teaching, which are RN responsibilities. LPNs can perform dressings, but new admissions involve complex evaluations outside their scope, making this inappropriate for delegation. Choice B reason: Emptying a JP drain for a discharge-ready client is a routine, stable task within an LPN’s scope. The patient’s condition is stable, and the procedure is straightforward, requiring no complex judgment, making this the most appropriate task to delegate to an LPN/LVN. Choice C reason: A client with a stage III pressure ulcer and IV antibiotics requires advanced wound assessment and IV management, which are RN tasks. LPNs have limited scope for IV therapy and complex wounds, making this inappropriate for delegation. Choice D reason: A client 2 days post-abdominal surgery on oral pain medication may need monitoring for complications, an RN responsibility. LPNs can assist, but potential instability makes this less suitable for delegation compared to the stable, routine task of emptying a JP drain.

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