A registered nurse has been leading teams of nursing assistive personnel (NAP) for several years and will soon be leading licensed practical nurses (LPNs) for the first time. In preparation for delegating to these nurses, the RN should:
ask each LPN what tasks he or she is comfortable performing.
delegate the same tasks to the LPNs that the RN normally delegated to NAPS.
consult a decision tree for delegation to unlicensed assistive personnel.
review the practical nurse scope of practice in the jurisdiction where they are working.
The Correct Answer is D
A. While it’s important to consider the comfort and competency of the LPNs, this approach alone does not ensure that the tasks delegated are within their legal scope of practice. It’s essential for the RN to also verify that the tasks align with the LPN’s training and legal scope of practice.
B. LPNs have a different scope of practice compared to nursing assistive personnel (NAP). They are trained to perform more complex tasks and provide a higher level of care than NAPs. Delegating the same tasks would not take advantage of the LPN's training and could lead to issues related to patient safety and quality of care.
C. While consulting a decision tree can be a useful tool for delegating tasks to NAPs, it does not apply to LPNs. LPNs have a different scope of practice and require a different framework for delegation, as they can perform nursing tasks that are not within the NAP scope.
D. This is the most appropriate action for the RN. Understanding the legal scope of practice for LPNs in their specific jurisdiction is crucial for safe and effective delegation. It ensures that the RN delegates tasks that LPNs are qualified to perform, thereby promoting patient safety and adhering to legal standards.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","E"]
Explanation
A. This is a routine task that can be safely delegated to a NAP. It does not require complex decision- making or assessment skills.
B. This task requires the ability to assess the client's condition and determine the appropriate level of restraint. It is a task that should be performed by an RN or licensed practical nurse (LPN).
C. While this may seem like a simple task, it requires the ability to monitor the client for signs of withdrawal and to intervene if necessary. It is a task that should be performed by an RN or LPN.
D. This task requires the ability to assess the client's behavior and to intervene if necessary. It is a task that should be performed by an RN or LPN.
E. This is a therapeutic activity that can be delegated to a NAP. It can help to stimulate the client's cognitive function and provide social interaction.
F. This task requires the ability to assess the client's condition and identify potential complications. It is a task that should be performed by an RN or LPN.
Correct Answer is B
Explanation
A. Protamine is an antidote for heparin and is used to reverse anticoagulation effects. It is not relevant in the context of administering morphine, which is an opioid analgesic.
B. Naloxone is an opioid antagonist that is specifically used to reverse the effects of opioid overdose, including respiratory depression caused by morphine. Having naloxone available is a critical safety measure when administering opioids, as it can quickly counteract the effects if the patient experiences severe sedation or respiratory distress.
C. Neostigmine is a medication used to treat myasthenia gravis and to reverse the effects of non- depolarizing neuromuscular blockers. It is not related to the administration of morphine and does not serve as a reversal agent for opioid effects.
D. Flumazenil is a benzodiazepine antagonist used to reverse the effects of benzodiazepine sedation. It is not used for opioid reversal and would not be applicable in the context of morphine administration.
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