Nursing Prioritization Delegation Assignment Q 21
The patient with COPD has a nursing diagnosis of Ineffective Breathing Pattern. Which is an appropriate action to delegate to the experienced LPN under your supervision?
A. Observe how well the patient performs pursed-lip breathing.
B. Plan a nursing care regimen that gradually increases activity intolerance.
C. Assist the patient with basic activities of daily living.
D. Consult with the physical therapy department about reconditioning exercises.
Correct Answer: A. Observe how well the patient performs pursed-lip breathing
Experienced LPNs/LVNs can use observation of patients to gather data regarding how well patients perform interventions that have already been taught. The scope of practice for the licensed practical or vocational nurse will most likely include the legal ability of this nurse to perform data collection, plan, implement and evaluate care under the direct supervision and guidance of the registered nurse.
Option B: Planning requires additional education and skills, appropriate to an RN. The scope of practice for the registered nurse will most likely include the legal ability of the registered professional nurse to perform all phases of the nursing process including assessment, nursing diagnosis, planning, implementation and evaluation.
Option C: Assisting patients with ADLs is more appropriately delegated to a nursing assistant. Some examples of tasks and aspects of care that can be delegated legally to nonprofessional, unlicensed assistive nursing personnel, provided they are competent in these areas, under the direct supervision of the nurse include assisting the client with their activities of daily living such as ambulation, dressing, grooming, bathing and hygiene.
Option D: Scopes of practice are also considered prior to the assignment of care. All states have scopes of practice for advanced nurse practitioners, registered nurses, licensed practical nurses and unlicensed assistive personnel like nursing assistants and patient care technicians.