Question

The charge nurse on a cardiac step-down unit makes assignments for the team consisting of an RN, a PN, and an unlicensed assistive person. Which client should be assigned to the PN?

A) A 49 year-old with new onset atrial fibrillation with a rapid ventricular response
B) A 58 year-old hypertensive with possible angina.
C) A 35 year-old scheduled for cardiac catheterization.
D) A 65 year-old for discharge after angioplasty and stent placement.

Answer 1

A PN should be assigned to a 65-year-old patient being discharged after angioplasty and stent placement, since the responsibilities fit their training and allow for efficient use of the nursing team under an RN's supervision.

Step-by-step explanation:

The LPN (Licensed Practical Nurse) or PN (Practical Nurse) could be safely assigned to a 65-year-old patient being discharged after an angioplasty and stent placement. This task is within the scope of practice for an LPN/PN, provided they are working under the direct supervision of a registered nurse (RN). The role of the PN includes monitoring patient recovery, educating the patient about discharge instructions, and ensuring that all necessary post-procedure care information is correctly communicated and understood.

Given the patient's status of post-angioplasty and stent placement, these responsibilities do not require the high level of skill of an ICU staff nurse but do need a licensed nurse's knowledge and training to be executed safely and efficiently. The RN would be better utilized managing more critical patients or those with complex needs, while the unlicensed assistive person can handle non-clinical tasks and basic care under the LPN's or RN's guidance.