The medical-surgical unit works with an LPN/LVN and shares a CNA with another RN.

Sample Solution

Patient Assignment, Delegation, and Supervision

Patient Assignment to LPN:

Given the LPN's education and scope of practice, I would assign the following patients to them:

1. Client 2: The patient with full-thickness burns requires frequent dressing changes, which can be delegated to the LPN.
2. Client 5: The patient with new-onset dementia requires close monitoring, but once the lab results are in, the LPN can assist with routine care.
3. Client 6: The patient being discharged can benefit from the LPN's knowledge and skills in patient education and discharge planning.

Delegation to LPN and CNA:

• LPN:
  • Assist with dressing changes for Client 2.
  • Monitor vital signs for Clients 1, 3, 4, and 5.
  • Administer medications as ordered.
  • Provide patient education for Client 6.
  • Assist with discharge planning for Client 6.
• CNA:
  • Assist with personal hygiene and activities of daily living for all patients.
  • Obtain vital signs as needed.
  • Collect specimens as ordered.
  • Report any changes in patient condition to the RN.

Interventions to Supervise:

• LPN:
  • Dressing changes for Client 2: Ensure proper technique to prevent infection and promote healing.
  • Medication administration: Verify correct medication, dosage, route, and time.
  • Patient education: Observe the LPN's ability to effectively communicate information to the patient and family.

Full Answer Section

• CNA:
  • Vital sign monitoring: Check for accuracy and consistency.
  • Specimen collection: Ensure proper labeling and handling.
  • Reporting changes in condition: Verify that the CNA is communicating any significant changes to the RN.

Priority Care:

1. Client 4: The patient with wheezing and labored respirations needs immediate attention to prevent respiratory failure.
2. Client 3: The patient with a broken femur requires pain management and monitoring for complications.
3. Client 1: The patient who recently had a heart attack needs close monitoring for signs of instability.
4. Client 2: The patient with burns requires frequent dressing changes and pain management.
5. Client 5: The patient with new-onset dementia requires close monitoring and evaluation of lab results.
6. Client 6: While discharge planning is important, it can be prioritized lower than the other patients.

Note: This is a general plan and may need to be adjusted based on the specific needs of each patient and the availability of resources.