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
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 D
Explanation
Rationale:
A. Assigning an RN to perform a central line dressing change is appropriate as it requires specialized skills and knowledge.
B. Assigning an AP to perform glucometer monitoring is within their scope of practice and is a suitable task.
C. Assigning two APs to ambulate clients is reasonable if the workload requires it.
D. Assigning a new graduate nurse to perform a wet-to-dry dressing change may be inappropriate if it requires more experience and skill than the new graduate has.
Correct Answer is B
Explanation
Rationale:
A. Asking other staff nurses does not address the immediate concern of the client and could lead to gossip or unnecessary complications.
B. Addressing the concern with the specific staff nurse directly is appropriate to understand any issues and to see if there is a valid reason for the client’s request.
C. Recommending transfer without understanding the issue could be premature and might not address the root of the problem.
D. Notifying human resources is a step that may be needed later but should not be the first action; the manager should first address the issue with the staff nurse.