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

Answer and Explanation

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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Correct Answer is A

Explanation

Rationale:

A. Respite care provides temporary relief for primary caregivers, giving them time to complete personal tasks or take a break from caregiving responsibilities.

B. Restorative care focuses on improving a client’s ability to perform daily activities and is not specifically aimed at providing caregiver relief.

C. Hospice care is for end-of-life care and is not applicable to the situation described.

D. Mental health care may be necessary if the caregiver is experiencing emotional or psychological stress, but the immediate need described is for respite from caregiving duties.

A. Withholding a dose of narcotic pain medication when the client has respiratory depression B. Discussing advance directives with the client and the client's family C. Providing comfort care measures to the client D. Allowing the client's family unlimited visitation at the time of death

Correct Answer is A

Explanation

Rationale:

A. Withholding a dose of narcotic pain medication when there is respiratory depression aligns with nonmaleficence, as it prevents further harm by not exacerbating the client's respiratory issues.

B. Discussing advance directives is important but is more related to autonomy and respect for the client’s wishes rather than nonmaleficence.

C. Providing comfort care is a supportive measure but does not specifically address nonmaleficence in terms of preventing harm.

D. Allowing unlimited visitation respects family wishes but does not directly relate to the principle of nonmaleficence regarding the client’s immediate medical needs.

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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?

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