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Answer :
Final answer:
An LPN/LVN can be delegated tasks like monitoring skin integrity, ensuring proper body alignment, and administering medications as part of patient care under the direct supervision of a registered nurse. However, certain tasks like removing weights from traction require closer supervision due to associated risks.
Explanation:
The student's question is related to the tasks that can be delegated to a Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) when a patient is in Buck's traction before undergoing open reduction and internal fixation of a left hip fracture. The tasks listed in the question vary in complexity and responsibility level. An LPN/LVN, working under the direct supervision of a registered nurse, has a scope of practice that typically includes monitoring patient wellbeing, providing routine care, and reporting changes in the patient's condition.
- Assess skin integrity around the traction boot: LPNs/LVNs are often tasked with monitoring skin integrity and reporting any issues to the supervising RN.
- Determine correct body alignment to enhance traction: Ensuring proper body alignment can often be delegated to LPNs/LVNs as it is part of routine patient care and monitoring.
- Remove weights from traction when turning the patient: This is a task that requires specific knowledge of traction. While LPNs/LVNs may assist with this process, it should only be done following the direct instruction and supervision of an RN or a physician due to the risks involved.
- Monitor pain intensity and administer prescribed analgesics: LPNs/LVNs are commonly responsible for monitoring patients' pain levels and administering medications within their scope of practice and according to facility protocols.
It is important to note that these activities should always comply with state regulations and institutional policies regarding the LPN/LVN scope of practice.
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