The registered nurse (RN) and practical nurse (PN) are caring for a client who was admitted to the medical unit last night with a moderate asthma exacerbation and an upper respiratory infection. Which tasks are appropriate for the RN to delegate to the PN? Select all that apply.

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11ecbb05_cb88_2332_b433_bff77e351195_MD0009_00 When delegating tasks, the registered nurse (RN) should consider the 5 rights of delegation along with the scope of practice. The scope of practice for a practical nurse (PN) includes administering medications, although regulations related to narcotics and IV medications vary by state (Option A). Based on staff member availability, it can also be appropriate to perform or delegate tasks below the scope of a given staff member (eg, delegating vital signs to a PN, an RN performing ostomy care) (Option C). Measuring peak expiratory flow with a peak flow meter is also within the scope of practice for a PN (Option D). (Option B) The PN can collect data (eg, auscultating breath sounds, observing for accessory muscle use). However, evaluation of the collected data (ie, determining the client's response to a bronchodilator medication) is the responsibility of the RN, as it requires use of the nursing process. (Option E) PNs are able to reinforce education initiated by the RN. However, providing teaching on new topics may not be delegated to the PN. Educational objective: Administering most medications and collecting data related to adequacy of oxygenation and ventilation are tasks within the scope of practice for a licensed practical nurse. The overall assessment, analysis, and evaluation of the collected data to develop the client plan of care are the responsibilities of the supervising registered nurse.

The Registered Nurse (RN) and Practical Nurse (PN) Are Caring