Nokea
An RN is delegating care activities to a licensed practical nurse (LPN). Which of the following is the priority criterion the RN should consider when delegating?
- A. Agency policies for the LPN
- B. The documented experience level of the LPN
- C. The documented skill level of the LPN
- D. State Nurse Practice Act for the LPN
Correct Answer: D
Rationale: The correct answer is D: State Nurse Practice Act for the LPN. This is the priority criterion because the Nurse Practice Act outlines the scope of practice for LPNs in a specific state, ensuring that the tasks delegated are within their legal scope. This helps to protect patient safety and ensures legal compliance.
A: Agency policies for the LPN - Agency policies are important but do not take precedence over legal requirements outlined in the Nurse Practice Act.
B: The documented experience level of the LPN - Experience level is important but does not guarantee legal authority to perform certain tasks.
C: The documented skill level of the LPN - Skill level is important but does not override legal limitations set by the Nurse Practice Act.
You may also like to solve these questions
A nurse is caring for a client who is scheduled for surgery but is hesitant to sign the consent form. Which of the following actions should the nurse take first?
- A. Notify the surgeon of the client's hesitation.
- B. Document the client's refusal to sign the consent form.
- C. Ask the client about their concerns regarding the surgery.
- D. Contact the client's family to discuss the procedure.
Correct Answer: C
Rationale: Asking the client about their concerns allows the nurse to address specific fears or misunderstandings, promoting informed consent and respecting the client's autonomy.
A nurse is preparing to bathe a client. Which of the following actions should the nurse plan to take?
- A. Fill the bath basin with tap water that is 39° C (102.2° F).
- B. Pull the curtain around the client's bed.
- C. Wash the client's arms and hands first.
- D. Use a washcloth to wipe the client's eyes from the outer canthus to the inner canthus.
Correct Answer: B
Rationale: The correct answer is B: Pull the curtain around the client's bed. This action ensures the client's privacy and maintains their dignity during the bathing process. By creating a physical barrier with the curtain, the nurse respects the client's autonomy and promotes a comfortable environment.
Choice A is incorrect because the water temperature specified may not be suitable for the client, as it is too hot. Choice C is incorrect as washing the arms and hands first may not be the most efficient or logical sequence for a full-body bath. Choice D is incorrect because wiping the client's eyes with a washcloth in that direction can introduce contaminants into the eyes.
A nurse is leading a debriefing session after a critical incident on the unit. Which of the following actions should the nurse take to support the team?
- A. Focus on assigning blame for the incident.
- B. Encourage staff to share their feelings and experiences.
- C. Criticize staff for errors made during the incident.
- D. Limit the discussion to procedural changes only.
Correct Answer: B
Rationale: Encouraging staff to share their feelings and experiences promotes emotional support and team cohesion, helping staff process the incident and identify areas for improvement.
A nurse is planning care for four clients and is assigning tasks to a licensed practical nurse (LPN) and an assistive personnel (AP). Which of the following should the nurse assign to the LPN?
- A. Measure 1&O for a client who has an indwelling urinary catheter.
- B. Reinforce teaching to a client to begin taking enoxaparin at home following a hip arthroplasty.
- C. Develop a plan of care for a client who has cholecystitis.
- D. Complete an admission assessment for a client who has COPD.
Correct Answer: B
Rationale: The correct answer is B because reinforcing teaching to a client about medication administration falls within the scope of practice for an LPN. LPNs are trained to provide education on medication administration and can reinforce teaching provided by the nurse.
Choice A is incorrect because measuring intake and output for a client with an indwelling urinary catheter requires specific nursing assessment skills that LPNs may not have.
Choice C is incorrect because developing a plan of care for a client with cholecystitis involves critical thinking and decision-making skills typically performed by a registered nurse.
Choice D is incorrect as completing an admission assessment for a client with COPD requires comprehensive assessment skills that are typically within the scope of practice for a registered nurse.
Therefore, choice B is the most appropriate task to assign to an LPN in this scenario.
A nurse is working with a limited staff because of a severe storm in the area. The facility incident commander has initiated disaster protocols. Which of the following actions should the nurse take?
- A. Reinforce discharge teaching to clients.
- B. Focus on providing care that prevents life-threatening emergencies.
- C. Stock additional unit supplies.
- D. Instruct the assistive personnel (AP) to focus on clients' ADLs.
Correct Answer: B
Rationale: Correct Answer: B - Focus on providing care that prevents life-threatening emergencies.
Rationale: During a disaster, the nurse's priority is to ensure the safety and well-being of clients by focusing on providing care that prevents life-threatening emergencies. By prioritizing care to prevent life-threatening situations, the nurse can help maintain the stability and health of clients during the crisis. This action aligns with disaster protocols and ensures that resources are utilized effectively to address the most critical needs first.
Incorrect Choices:
A: Reinforcing discharge teaching is not a priority during a disaster when immediate life-saving interventions are needed.
C: Stocking additional supplies may be important, but it is not the immediate priority when working with limited staff during a severe storm.
D: Instructing assistive personnel to focus on clients' ADLs may not address the urgency of preventing life-threatening emergencies during a disaster.