NCLEX Practice Test

What nursing activities are appropriate to delegate to the licensed practical nurse (LPN) for a client with ulcerative colitis? Select all that apply.

1. Administer a blood transfusion

2. Administer a prescribed suppository

3. Discuss dietary modifications with the dietitian

4. Monitor for a change in bowel sounds

5. Remind the client to track daily weights

The correct answer is: Administer a blood transfusion

Administering a blood transfusion is a complex task requiring specialized knowledge and is generally within the scope of practice for registered nurses, not licensed practical nurses (LPNs). In contrast, there are nursing activities that are appropriate for LPNs regarding client care in ulcerative colitis management. For instance, administering a prescribed suppository is within the scope of practice for LPNs. It involves understanding medication administration and the specific details about how to properly provide this treatment to the client. Monitoring for a change in bowel sounds aligns with the LPN's role in patient assessment and ongoing evaluation of the client’s condition. It helps in assessing the severity of the colitis and providing timely updates to the RN regarding any significant findings. Reminding the client to track daily weights is another activity suitable for delegation to an LPN. This task does not require in-depth clinical judgment and helps maintain the client's awareness of their health status and potential fluid balance issues related to ulcerative colitis treatment. Discussing dietary modifications with the dietitian is best suited for a registered nurse or a dietitian. This task involves collaboration and in-depth knowledge of dietary guidelines and potential complications of dietary changes for patients with ulcerative colitis, which may exceed the LPN's