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","B","C","D"]
Explanation
A. Ulcerative colitis can lead to iron deficiency anemia due to chronic inflammation, intestinal bleeding, and malabsorption of nutrients. The disease often affects the colon, which can result in blood loss and inadequate iron absorption.
B. A diet high in prepackaged and processed foods is often low in essential nutrients, including iron. These foods may lack whole grains, fruits, vegetables, and other sources of dietary iron, increasing the risk of iron deficiency anemia.
C. Treatment for gastrointestinal cancer, such as surgery or chemotherapy, can lead to changes in absorption and increased risk of bleeding. This history can significantly elevate the risk for developing iron deficiency anemia due to potential blood loss and malabsorption issues.
D. Gastric bypass surgery can lead to iron deficiency anemia due to reduced stomach size and changes in the gastrointestinal tract that impair nutrient absorption. Patients often need to supplement their diet with iron and other vitamins after surgery.
E. Eating red meat daily is generally associated with an adequate intake of heme iron, which is more easily absorbed by the body compared to non-heme iron found in plant sources. While it's important to consider overall dietary patterns, this particular factor does not typically pose a risk for iron deficiency anemia.
Correct Answer is D
Explanation
A. While it's important to obtain a formal DNR order, the nurse should not delay providing emergency care while waiting for the order. The client's immediate needs take precedence.
B. The risk manager can provide guidance and support, but they cannot provide immediate medical care. The nurse's priority should be to provide emergency care to the client.
C. Even in the absence of a formal DNR order, the nurse has a legal and ethical duty to provide emergency care to a client who is in cardiac or respiratory arrest.
D. This is the most appropriate action. The nurse should immediately call the emergency response team to initiate resuscitation efforts. While waiting for the team to arrive, the nurse should continue to provide basic life support measures, such as CPR and rescue breathing. Once the emergency response team arrives, they will take over the resuscitation efforts and obtain a formal DNR order from the provider if necessary.
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