A nurse is planning to delegate tasks to a licensed practical nurse (LPN). Which of the following entities is important for the nurse to understand when delegating tasks to the LPN?
The National Council of State Boards of Nursing Decision Tree
The state Nurse Practice Act
The Omnibus Budget Reconciliation Act of 1987
The National Association for Practical Nurse Education and Services
The Correct Answer is B
Rationale:
A. The National Council of State Boards of Nursing Decision Tree provides guidance for decision-making but does not specifically address delegation.
B. The state Nurse Practice Act defines the scope of practice for RNs and LPNs and is essential for understanding what tasks can be delegated.
C. The Omnibus Budget Reconciliation Act of 1987 primarily pertains to nursing home regulations and does not directly address task delegation.
D. The National Association for Practical Nurse Education and Services focuses on LPN education and standards, but the state Nurse Practice Act is more directly relevant to delegation.
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Correct Answer is C
Explanation
Rationale:
A. False imprisonment involves restricting a person’s freedom of movement, not administering medication against their will.
B. Assault involves the threat of harm, not the actual administration of medication.
C. Battery is the intentional touching of another person without consent, which includes administering medication to a competent person who has refused it.
D. Negligence involves failure to meet the standard of care, but administering medication against a patient’s wishes is more accurately described as battery.
Correct Answer is D
Explanation
Rationale:
A. A red rash is concerning but not typically an immediate life-threatening condition compared to other options.
B. Severe flank pain may indicate a serious condition but is not as immediately critical as a life-threatening injury.
C. Multiple fractures can be serious but are generally less urgent compared to critical injuries involving major arteries.
D. A punctured femoral artery is a life-threatening emergency requiring immediate intervention to prevent massive blood loss and ensure survival.