NCLEX · General

The charge nurse is making client assignments. Which client is most appropriate to assign to the LPN (rather than the RN)?

Correct answer

A stable client with a chronic condition requiring routine medication administration and reinforcement of previously taught education

  1. A A newly admitted client requiring an initial assessment
  2. B A client requiring blood transfusion initiation
  3. C A stable client with a chronic condition requiring routine medication administration and reinforcement of previously taught education
  4. D An unstable client requiring frequent reassessment and care plan adjustment

Why this is the answer

LPN SCOPE — APPROPRIATE ASSIGNMENTS: LPNs care for STABLE clients with PREDICTABLE outcomes. APPROPRIATE for LPN: Stable clients with chronic, stable conditions; routine medication administration (oral, subcutaneous, IM — IV varies by state); reinforcing teaching the RN already initiated; routine wound care; data collection and monitoring; INAPPROPRIATE for LPN (RN responsibility): Initial/admission assessment (the comprehensive assessment requires RN); unstable clients needing ongoing assessment and judgment; blood transfusion initiation (most states — RN only); IV push medications (most states); developing or modifying the care plan; initial client teaching for new diagnoses; clients with unpredictable, complex needs; THE PRINCIPLE: Stable + predictable = LPN appropriate; unstable + requires assessment/judgment = RN; ASSIGNMENT vs DELEGATION: Assignment transfers responsibility for total care within scope; delegation transfers a specific task; charge nurse role: match client acuity to staff scope and competency.
Source: NCLEX-PN Safe Care — LPN Assignment Appropriateness

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