Question

The charge nurse is planning client assignments for the shift. The care team includes a registered nurse (RN), a licensed practical nurse (PN), and unlicensed assistive personnel (UAP) on the care team. Which client(s) are appropriate to be assigned to the PN? (Select all that apply)

A. A client scheduled for a STAT CAT x-ray after a fall from a stretcher
B. A client receiving IV vancomycin through a peripherally inserted catheter (PICC) line.
C. A client with sickle cell crisis who was transferred from the ICU to the acute care area and who is receiving hydromorphone via a patient-controlled analgesia (PCA) pump.
D. A client with a pressure ulcer who was prescribed negative pressure (wound VAC) care
E. A postoperative client who has been prescribed 2 units of packed red blood cells.

Answer 1

A licensed practical nurse (PN) is appropriate to be assigned to clients B, C, and D. These clients require specialized medication administration, pain management, and wound care.

Step-by-step explanation:

Based on the scope of practice, a licensed practical nurse (PN) is appropriate to be assigned to clients B, C, and D. Client B, who is receiving IV vancomycin through a peripherally inserted catheter (PICC) line, requires specialized medication administration skills that a PN is trained to perform under the supervision of an RN. Client C, a sickle cell crisis patient receiving hydromorphone via a patient-controlled analgesia (PCA) pump, would benefit from the PN's ability to monitor the PCA pump and provide appropriate pain management. Client D, who requires negative pressure (wound VAC) care for a pressure ulcer, can have their wound dressings monitored and changed by a PN.