The registered nurse is working with a licensed practical nurse and unlicensed assistive personnel. A client has just returned to the cardiac unit after a percutaneous coronary intervention. Which actions are most appropriate for the registered nurse to assign to the licensed practical nurse? Select all that apply.

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11ecbb05_cb8f_763d_b433_053d9de58144_MD0009_00 After performing the initial assessment of the client post-procedure and comparing it to the pre-procedure baseline, the registered nurse (RN) may assign the following tasks to the licensed practical nurse (LPN): Administer medications (Option A)Monitor neurovascular status of involved extremityMonitor for bleeding at catheter site every 15 minutes for the first hour, then according to facility policy (Option C)Report any changes in neurovascular status or bleeding to the RN Administer medications (Option A) Monitor neurovascular status of involved extremity Monitor for bleeding at catheter site every 15 minutes for the first hour, then according to facility policy (Option C) Report any changes in neurovascular status or bleeding to the RN (Option B) Unlicensed assistive personnel (UAP) possess appropriate skills and knowledge to meet clients' elimination, hygiene, and comfort needs. Although these tasks could be performed safely by an LPN, underutilizing UAP would be an ineffective use of resources. (Options D and E) The RN should perform initial assessments (including vital signs), review the ECG for any dysrhythmias, monitor the client for chest pain, and monitor any infusions of anticoagulants or antiplatelet drugs. If the client is stable after the initial assessment, the RN may delegate routine vital sign measurements to the UAP. Educational objective: In the client who has had a percutaneous coronary intervention, after initial assessment and comparison to pre-procedure baseline, the RN may assign the tasks of medication administration, monitoring of neurovascular status of the involved extremity, and checking for bleeding at the catheter insertion site to the LPN.

The Registered Nurse Is Working with a Licensed Practical Nurse