Which task is appropriate to delegate to an LPN/LVN working under an RN when caring for a burn patient?

• A. Change the dressing on a stable partial-thickness burn using sterile technique
• B. Choose the type of dressing to use on a pressure ulcer
• C. Assess the patient for pain and adjust analgesia
• D. Plan discharge teaching for wound care

Answer: (A)

Scope of practice and delegation in wound care for a burn patient. An LPN/LVN under an RN can perform routine wound-care tasks that follow established protocols, such as changing a dressing using sterile technique on a stable partial-thickness burn. This is a basic, procedure-based task that doesn’t require initiating new assessments or altering medications, just applying the dressing correctly and monitoring for any signs of complications to report.

The other tasks involve steps that typically require RN judgment: choosing what type of dressing to use on a pressure ulcer requires wound assessment and clinical decision-making; assessing pain and adjusting analgesia involves evaluating pain levels and modifying orders; planning discharge teaching for wound care involves coordinating education and ensuring patient understanding. These are responsibilities that exceed the LPN/LVN scope when performed independently or without direct RN oversight.

So, the appropriate task to delegate to an LPN/LVN is changing the dressing on a stable partial-thickness burn using sterile technique.