Nursing Prioritization Delegation Assignment Q 76
The nurse is caring for a client with a leg ulcer that is infected with vancomycin-resistant S. aureus (VRSA). Which of the following nursing actions can a nurse assign to an LPN/LVN?
A. Assess risk for further skin breakdown.
B. Collect wound cultures during dressing changes.
C. Create methods to improve the client's oral protein intake.
D. Educate the client about home care of the leg ulcer.
Correct Answer: B. Collect wound cultures during dressing changes
Performing dressing changes and obtaining specimens for wound culture are part of the LPN/LVN education and scope of practice. LPN/LVN can perform routine procedures (ostomy care, catheter insertion, wound care, check blood glucose, obtaining EKG etc.).
Option A: The scope of practice for LPN/LVN nurses includes observing patient data according to a list of set rules that they must follow unconditionally. Any abnormal findings that they observe must be reported to an RN. An LPN/LVN cannot perform a complete and exhaustive physical assessment. LPNs/LVN can suggest interventions but cannot implement them unless instructed and supervised.
Option C: LPN/LVN assists with care plans by implementing the interventions (as within scope of practice) but does NOT develop the nursing diagnosis or interventions or evaluate the care plan.
Option D: Education is a complex action that should be carried out by an RN. LPNs/LVNs may not become involved in teaching patients, although in some cases they can engage in basic teaching procedures under very specific guidelines. An LPN can for example teach a patient to do motion exercises. RNs have the sole responsibility when it comes to teaching patients.