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?
Agency policies for the LPN
The documented experience level of the LPN
The documented skill level of the LPN
State Nurse Practice Act for the LPN
The Correct Answer is D
Rationale:
A. Agency policies for the LPN are important but secondary to ensuring the tasks fall within the scope of practice.
B. The documented experience level of the LPN is relevant but should be considered in conjunction with the scope of practice.
C. The documented skill level of the LPN is important for assigning tasks but must align with legal scope of practice.
D. State Nurse Practice Act for the LPN is the priority criterion as it defines the legal scope of practice and ensures that tasks delegated to the LPN are within their legal and professional boundaries.
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Related Questions
Correct Answer is D
Explanation
Rationale:
A. Reviewing preoperative laboratory test results is within the nurse’s responsibilities to ensure that all necessary tests have been completed.
B. Assessing the current health status of the client is an important preoperative task for the nurse.
C. Ensuring a signed surgical consent form is completed is within the nurse’s scope to verify that informed consent has been obtained.
D. Explaining the operative procedure, risks, and benefits is typically the responsibility of the surgeon or provider, not the nurse.
Correct Answer is C
Explanation
Rationale:
A. Reporting the observation to the nurse caring for that client is important but not the immediate priority.
B. Informing the nursing supervisor is necessary but should be done after assessing the situation directly.
C. Approaching the man and asking why he is making copies is the most immediate and direct action. It allows the nurse to assess the situation and determine if the man has legitimate access to the client's medical record or if further action is needed.
D. Notifying hospital security may be necessary if the man’s actions are unauthorized, but the first step is to gather more information.
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