Explanation: Discussing the prognosis truthfully (D) demonstrates veracity, the ethical principle of truth-telling. Fidelity (A) is keeping promises, confidentiality (B) protects information, and beneficence (C) promotes well-being, but veracity is most relevant here.

Explanation: Client One This client is stable, with IV antibiotics discontinued and switched to oral. The LPN can manage routine medication administration, monitor for any signs of infection recurrence, and provide discharge education under the supervision of an RN. Client Three The client is stable and primarily requires routine care, such as scheduled ambulation and assistance with bowel management (enema administration). The LPN is qualified to administer medications and monitor for any changes in respiratory status following chest trauma. Client Six This client is stable and requires PEG tube feedings, medication administration, and daily dressing changes for a sacral pressure ulcer. These tasks fall within the LPN's scope of practice, as long as the RN remains available for more complex assessments if needed. Client Seven The client is showing improvement, is hemodynamically stable, and requires intermittent IV piggyback antibiotics. LPNs are trained to administer IV piggyback medications and monitor for adverse effects. Routine vital sign monitoring and medication administration are appropriate for LPN delegation. Clients that should be assigned to the RN Client Two This client presents an increased risk of hemodynamic instability due to new-onset bleeding (epistaxis and vaginal bleeding), requiring close assessment and intervention. The RN is needed to evaluate the severity of bleeding, administer platelet transfusions, and monitor for transfusion reactions or worsening anemia. Client Four Postoperative clients are at risk for complications such as hemorrhage, infection, and ileus. The RN is required to perform a comprehensive assessment, evaluate bowel function, manage nausea, and ensure the catheter remains patent without signs of infection. Client Five This client is on continuous IV diltiazem, which requires ongoing cardiac monitoring and dosage adjustments based on response. The client's history of syncope raises concerns for hemodynamic instability, which necessitates RN oversight for timely intervention if deterioration occurs.

Explanation: Blistering at a PICC site during chemotherapy (A) suggests extravasation, a medical emergency requiring immediate intervention to prevent tissue damage. Nausea and vomiting (B) and oral burning (C) are less urgent side effects. Sitting with visitors (D) is a normal activity and not concerning.

Explanation: The nurse's role includes validating parental competency (C) to ensure they understand the procedure and witnessing the signature (D) to confirm consent was given. Explaining risks/benefits (B) is the surgeon's responsibility. Withdrawing consent (A) is not limited to the surgeon, and two witnesses (E) are not required.

Explanation: A speech or language therapist addressing swallowing disorders (C) is correctly paired, as this is their primary role. Occupational therapists (A) focus on daily living activities, not gait. Physical therapists (B) focus on mobility, not assistive devices primarily. RN case managers (D) coordinate care, not order therapies/medications.