Question

You are working with an experienced UAP and an LPN/LVN on the telemetry unit. A client who had an acute MI 3 days ago has a nursing diagnosis of Activity Intolerance related to fatigue and chest pain. Which nursing activity included in the care plan is best delegated to the LPN/LVN?1. Administering nitroglycerin (Nitrostat) if chest discomfort occurs during client activities2. Monitoring pulse, blood pressure, and oxygen saturation before and after client ambulation3. Teaching the client energy conservation techniques to decrease myocardial oxygen demand4. Explaining the rationale for alternating rest periods with exercise to the client and family

Answer 1

Answer:

The correct answer to the question: Which nursing activity included in the care plan is best delegated to the LPN/LVN? Would be, 1. Administering nitroglycerin (Nitrostat) if chest discomfort occurs during client activities.

Explanation:

The reason for this being the best answer comes from the following. LVN´s/LPN´s are nurses who have not completed a training to acquire an RN title, but are still trained enough to take on responsibilities from RN´s that do not require the level of education and training that RN´s receive. Within the scope of what LVN/LPN´s can do, is the administration of medication during patient activites, and although they must still be under the supervision of RN´s and doctors, these Licensed Vocational Nurses, or Licensed Practical Nurses, have the training to administer medication. However, measuring patient vitals is an activity that is best suited for less trained personnel, as is the UAP, and teaching is a task that can only be performed by an RN given an RN´s level of education and preparation.