Which of these nursing interventions for the patient who has had right-sided breast-conservation surgery and axillary lymph node dissection is appropriate to assign to an LPN/LVN?
a. Teaching the patient how to avoid injury to the right arm
b. Administering an analgesic 30 minutes before the scheduled arm exercises
c. Assessing the patient's range of motion for the right arm
d. Evaluating the patient's understanding of discharge instructions about drain care
Question 2
The nurse is a very busy charge nurse with responsibilities for a unit with 24 acute care patients. An experienced nursing assistant is assigned to the unit. The nursing assistant notes that the IV pump is beeping because the tubing appears kinked.
The assistant unkinks the tubing, and this resets the pump. The assistant reports the action to the nurse. It is most important that the nurse:
a. thank the nursing assistant for taking the initiative to correct the problem and to keep up the good work.
b. provide the assistant with additional instructions on safety in IV management.
c. warn the other staff to watch out for the nursing assistant because she works beyond her scope.
d. explain that help is appreciated; however, legally the nursing assistant cannot perform the action.
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