A new nurse has been asked to perform a task and she is unsure if it is in her scope of practice. The charge nurse assures her it is within the LPN scope of practice. The new LPN knows she can verify her scope of practice by checking which of the following?
Call a friend who is an RN
Check the State Nurse Practice Act
Discuss it with the UAP (unlicensed assistive personnel)
Check the policy at other hospitals
The Correct Answer is B
Choice A reason: Calling a friend who is an RN is not reliable because scope of practice is determined by law and regulation, not personal opinion.
Choice B reason: The State Nurse Practice Act defines the legal scope of practice for LPNs. It is the authoritative source for verifying whether a task is permitted. This ensures compliance with regulations and protects patient safety.
Choice C reason: Discussing scope of practice with a UAP is inappropriate because UAPs are not licensed nurses and do not have knowledge of nursing regulations.
Choice D reason: Checking policies at other hospitals is not valid because scope of practice is determined by state law, not by individual facility policies.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: An oatmeal bath is used to relieve itching and skin irritation, not to reduce fever.
Choice B reason: A tepid bath (lukewarm water) helps lower body temperature by promoting heat loss through conduction and evaporation. It is the appropriate intervention for fever reduction.
Choice C reason: A Sitz bath is used for perineal or rectal conditions, such as hemorrhoids or postpartum care. It does not reduce systemic fever.
Choice D reason: A medicated bath may be used for skin conditions requiring antiseptic or therapeutic agents, but it is not indicated for fever reduction.
Correct Answer is B
Explanation
Choice A reason: This instruction is inappropriate because using one washcloth for the entire body increases the risk of cross-contamination and infection. Different washcloths should be used for different areas, especially the face and perineal region, to maintain hygiene and prevent spread of microorganisms.
Choice B reason: This is the correct instruction because massaging reddened areas can worsen tissue damage and increase the risk of pressure injuries. UAPs should be taught to avoid massaging compromised skin and instead report any findings to the nurse. This demonstrates safe and evidence-based practice.
Choice C reason: This instruction is unsafe because UAPs should not disconnect IV tubing. Handling IV lines requires nursing knowledge and skill to prevent infection, dislodgement, or medication errors. This task is outside the UAP’s scope of practice.
Choice D reason: This instruction is incorrect because the patient’s face should be washed with plain water, not soap, to avoid irritation of sensitive facial skin. Soap can cause dryness or discomfort.
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