Which statement is true regarding the general delegation liability of the registered nurse (RN)?

It is high because the RN is automatically held liable for the tasks delegated to all recognized subordinates.

It is minimal because subordinates alone are held accountable for practicing within the accepted scope of practice for their job classification.

is reduced when the RN delegates appropriately and supervises the completion of the tasks.

It is avoided entirely as long as the nurse delegates only other licensed personnel

Answer and Explanation

The Correct Answer is C

A.   While RNs can be held liable for their actions and, to some extent, for the actions of those they delegate to, liability is not automatic for all tasks delegated. Liability depends on whether the RN acted appropriately in the delegation process and whether the delegated tasks were performed within the subordinate's scope of practice.
B.   While subordinates are accountable for their actions, RNs also share responsibility when they delegate tasks. If the RN delegates a task inappropriately or fails to supervise adequately, they may still be held liable for any resulting harm.
C.   This statement is true. When RNs delegate tasks appropriately, ensuring that they are within the subordinate's scope of practice and providing adequate supervision, their liability is reduced. Proper delegation includes assessing the situation, providing clear instructions, and monitoring the outcomes.
D.   While delegating to licensed personnel may reduce some liability, it does not eliminate it entirely. RNs still have a duty to ensure that the tasks delegated are appropriate for the individual’s scope of practice and to provide supervision.

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Correct Answer is C

Explanation

A. While low ferritin levels can indicate iron deficiency anemia, sickle cell anemia primarily involves the production of abnormal hemoglobin rather than iron deficiency. Fatigue in sickle cell anemia is more closely related to the effects of the disease itself, including chronic hemolysis and decreased red blood cell survival.
B. Sickle cell anemia is not classified as an autoimmune disease; it is a genetic disorder caused by a mutation in the hemoglobin gene. While individuals with sickle cell anemia may have increased susceptibility to infections, the fatigue they experience is not due to an autoimmune process.
C. Sickle cell anemia leads to chronic hemolytic anemia, meaning the abnormal sickle-shaped red blood cells break down more quickly than normal red blood cells. This results in a lower overall red blood cell count (anemia), which can cause fatigue and weakness due to reduced oxygen-carrying capacity in the blood.
D. While gastrointestinal bleeding can lead to fatigue due to blood loss and subsequent anemia, it is not a direct consequence of sickle cell anemia. If the client had experienced a gastrointestinal bleed, it would typically need to be evaluated independently of their sickle cell disease.

A. "Monitor your child's temperature daily." B. "Offer fluids to your child multiple times every day." C. "Restrict outdoor play activity to 1 hour per day." D. "Apply cold compresses when your child expresses pain."

Correct Answer is B

Explanation

A. Monitoring temperature is also important, but it does not directly prevent a crisis.
B. Hydration is critical for children with sickle cell anemia, as it helps prevent sickle cell crises by promoting adequate blood flow and reducing blood viscosity. Encouraging frequent fluid intake is essential in managing the condition.
C. While it's important to monitor activity levels, outright restriction may not be necessary. Instead, children with sickle cell anemia should be encouraged to engage in age-appropriate activities while avoiding extreme temperatures and strenuous activities that could trigger a crisis. Balanced activity is essential for overall health and development.
D. Cold compresses are not typically recommended for managing pain during a sickle cell crisis. Instead, warmth is often preferred because it helps to relax muscles and improve blood flow. Cold can potentially exacerbate vasoconstriction, which is not beneficial for a child experiencing pain due to sickle cell disease.

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Which statement is true regarding the general delegation liability of the registered nurse (RN)?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has sickle cell anemia. The client asks. "Why do I feel so tired and fatigued all of the time?" Which of the following information should the nurse provide?

Correct Answer is C

Explanation

A nurse is discharging a child who has sickle cell anemia after an acute crisis episode. Which of the following instructions should the nurse include in the teaching?

Correct Answer is B

Explanation

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A nurse is admitting a client who has sickle cell anemia. Which of the following manifestations should the nurse expect with this condition?(Select All that Apply.)

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