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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 B

Explanation

Choice A rationale: Epinephrine is a potent vasoconstrictor and is typically used in emergency situations such as cardiac arrest. It is not the first-line treatment for symptomatic bradycardia1.

Choice B rationale: Atropine is the first-line medication for the treatment of bradycardia. It increases the heart rate by blocking the effects of the vagus nerve on the heart1.

Choice C rationale: Adenosine is primarily used to treat supraventricular tachycardia, not bradycardia1.

Choice D rationale: Verapamil is a calcium channel blocker used to treat high blood pressure, angina, and certain heart rhythm disorders, not typically used for bradycardia1.

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 caring for a client that is post cardiopulmonary arrest. The nurse anticipates to administer which of the following medications if theclient's restored rhythm is symptomatic bradycardia?

Correct Answer is B

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

A client with a complaint of dehydration has been admitted into the medical floor. Sodium chloride 1000ml IV to infuse over 12 hrs has been ordered by the admitting Physician. How many ml/hr should you administer? (Round to the nearest whole number) ml/hr

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