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Question
the nurse assigns an lpn/lvn to care for a client who requires a dressing change. when the lpn/lvn reports never having performed the procedure before, wh action does the nurse take? 1. tells the lpn/lvn to review the hospitals procedure manual prior to performing the dressing change. 2. verbally reviews the steps of the dressing change with the lpn/lvn. 3. completes the dressing change while the lpn/lvn observes. 4. assigns a more experienced lpn/lvn to care for the client.
In nursing practice, when an LPN/LVN has no experience with a procedure (dressing change here), the nurse should ensure the LPN/LVN is competent. Assigning a more experienced LPN/LVN (option 4) is appropriate as the current LPN/LVN lacks experience. Option 1: Reviewing a manual may not be sufficient for first - time. Option 2: Verbal review is not enough for hands - on skill. Option 3: Having the LPN/LVN observe isn't the best as the client needs care, and the inexperienced LPN/LVN should be replaced with an experienced one for safe care.
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- Assigns a more experienced LPN/LVN to care for the client.