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As the registered nurse, which tasks below should you NOT delegate to the LPN?

Reinforce education provided by RN

Give oral medication

obtain vital signs on stable patient

Starting a blood transfusion

Answer and Explanation

The Correct Answer is D

Choice A rationale: LPNs can reinforce education provided by RNs56.

Choice B rationale: LPNs can administer medications that are not high-risk56.

Choice C rationale: LPNs can obtain vital signs on stable patients56.

Choice D rationale: Starting a blood transfusion is a task that requires specific nursing judgment and decision-making skills, which should not be delegated to an LPN56.

So, the correct answer is Choice D, after analyzing all choices.

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Correct Answer is C

Explanation

A. Docusate sodium 200 mg PO at bedtime:

This prescription seems appropriate. Docusate sodium is a stool softener commonly used to prevent or alleviate constipation. Taking it at bedtime can help ensure a regular bowel movement in the morning.

B. Meloxicam 15 mg PO daily:

This prescription is generally appropriate. Meloxicam is a nonsteroidal anti-inflammatory drug (NSAID) used for pain and inflammation. The daily dosing is common, but the nurse should assess for any contraindications or potential issues with the patient's renal function since NSAIDs can affect the kidneys.

C. Regular insulin 8 units subcutaneous before meals:

This prescription requires clarification. While the prescription indicates the correct medication and route (regular insulin subcutaneously), it lacks specificity regarding the timing in relation to meals. Regular insulin is typically given 30 minutes before meals to control postprandial blood glucose levels. The nurse should contact the provider to confirm the appropriate timing.

D. Fentanyl 25 mcg/hr transdermal patch:

This prescription seems appropriate. Fentanyl is a potent opioid analgesic, and a transdermal patch provides continuous pain relief over an extended period. The dose is specified in micrograms per hour (mcg/hr), which is a common method for administering continuous medications

A. ANALYZE B. SHOCK C. ON D. SYNC

Correct Answer is D

Explanation

Choice A rationale: The “ANALYZE” button is typically used to allow the defibrillator to analyze the heart rhythm. It would not ensure that the electricity is delivered on the R wave6.

Choice B rationale: The “SHOCK” button is used to deliver a shock during defibrillation or cardioversion. However, it does not specifically ensure that the shock is delivered on the R wave6.

Choice C rationale: The “ON” button is typically used to turn the device on or off. It does not control the timing of the electrical delivery6.

Choice D rationale: The “SYNC” button is used in synchronized cardioversion to match the delivery of the shock to the R wave of the ECG, which is the peak of the electrical wave during which the ventricular cells are depolarized6.

So, the correct answer is D, after analysing all choices.

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As the registered nurse, which tasks below should you NOT delegate to the LPN?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing medications prescribed for a client. For which of the following prescriptions should the nurse contact the provider for clarification?

Correct Answer is C

Explanation

The nurse notes a client in supraventricular tachycardia. The patient has a pulse and the cardiac monitor is at the bedside. The nurse understands electrical intervention is indicated. What button does the nurse push to ensure the electricity is delivered on the R wave? Refer to the picture.

Correct Answer is D

Explanation

As the registered nurse, which tasks below should you NOT delegate to the LPN?

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