A licensed practical nurse (LPN) is working with an RN to deliver care to a group of clients. Which of the following tasks should the LPN plan to perform?
Admitting a client who has chronic renal failure and is scheduled for peritoneal dialysis
Assisting the provider with the insertion of a chest tube for a client who has a pleural effusion
Monitoring a client who reports chest pain and whose laboratory findings for cardiac enzymes are pending
Performing a dressing change for a client who is 2 days postoperative following a total hip arthroplasty
The Correct Answer is D
Choice A reason: Admission assessments require comprehensive evaluation and clinical judgment, which are within the RN’s scope of practice. LPNs do not perform initial assessments or admissions for complex conditions such as renal failure.
Choice B reason: Chest tube insertion is an invasive procedure requiring advanced clinical skills and sterile technique. Assisting with this procedure is typically reserved for RNs or specially trained personnel.
Choice C reason: Monitoring a client with chest pain and pending cardiac enzyme results involves critical thinking and interpretation of lab data, which is outside the LPN’s scope. This task should be handled by an RN.
Choice D reason: LPNs are trained to perform routine wound care and dressing changes for stable postoperative clients. A client who is 2 days post-op from a total hip arthroplasty is typically stable, making this task appropriate for an LPN.
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Correct Answer is B
Explanation
Choice A reason: Communication of client information at the nurses’ station is permissible under HIPAA as long as it is conducted in a manner that protects patient privacy. This includes avoiding loud conversations and ensuring unauthorized individuals are not present.
Choice B reason: HIPAA requires that each healthcare provider have a unique user ID and password for accessing electronic health records. Sharing a single password among nurses is a violation of HIPAA security standards and compromises accountability and data protection.
Choice C reason: Requiring family members to provide a code or password before receiving health information is a valid HIPAA-compliant practice. It ensures that only authorized individuals can access protected health information.
Choice D reason: Clients have the right under HIPAA to access and request copies of their medical records. This includes electronic and paper formats, and providers must respond to such requests within a designated timeframe.
Correct Answer is C
Explanation
Choice A reason: The Nursing Scope and Standards of Practice define the responsibilities and competencies expected of nurses but do not address compensation or employment conditions.
Choice B reason: Principles of Nursing Practice outline foundational values and behaviors expected in nursing but do not provide guidance on salary or job negotiations.
Choice C reason: The American Nurses Association (ANA) Position Statements include guidance on workforce issues, including fair compensation, staffing ratios, and workplace safety. These statements help nurses understand professional expectations related to pay and employment.
Choice D reason: The Code of Ethics for Nurses focuses on moral principles such as autonomy, beneficence, and confidentiality. It does not address financial or employment-related topics.
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