An RN has a critical patient that needs constant monitoring. However, the RN also has other patients in need of care. Which of the following tasks could be delegated to LPN? Select all that apply.
Changing a wet to dry dressing on a sacral wound
Admitting and assessing a patient who just arrived
Completing the discharge teaching to a patient going home
Administering a subcutaneous Heparin injection ordered STAT
Notifying the physician of a critically low potassium level
Correct Answer : A,D
Delegation between RN and LPN is guided by scope of practice, patient stability, predictability of outcomes, and clinical judgment requirements, where LPNs can perform routine, stable, and structured interventions, while RN retains responsibility for assessment, care planning, teaching, and critical communication.
Rationale:
A. Changing a wet-to-dry dressing on a sacral wound is a routine, standardized wound care procedure for a stable patient. It does not require complex assessment or clinical judgment, making it appropriate for delegation to an LPN under RN supervision.
B. Admitting and assessing a newly arrived patient requires comprehensive assessment, clinical judgment, and establishment of care plans. These are RN responsibilities and cannot be delegated to an LPN.
C. Completing discharge teaching requires patient education, evaluation of understanding, and reinforcement of learning outcomes. Teaching is a core RN function and cannot be delegated to an LPN.
D. Administering subcutaneous Heparin STAT is within LPN scope in many settings when the patient is stable. It is a routine medication administration task that does not require independent nursing assessment, making it appropriate for delegation.
E. Notifying the physician of a critically low potassium level requires interpretation of lab results and clinical judgment regarding urgency and patient status. This is an RN responsibility and cannot be delegated to an LPN.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D","E"]
Explanation
The evaluation phase of the nursing process is a systematic appraisal of the effectiveness, efficiency, and impact of a specific intervention. In community health, this phase determines if the strategic objectives were met and identifies the social determinants that influenced the program's success or failure, ensuring future resource allocation is evidence-based.
Rationale:
A. Comparing data from before and after an intervention is a core method of quantitative evaluation. This allows the nurse to measure the actual change in health status or behavior (vaccination uptake) within the population. It provides the statistical evidence needed to prove the program's efficacy.
B. Participant satisfaction surveys provide qualitative data regarding the community's perception of the service. Evaluation is not just about numbers; it is about whether the intervention was acceptable and accessible to the target population. This feedback is crucial for maintaining community engagement.
C. Expanding the program to include nutrition education is an implementation or planning action for a new or modified intervention. While this may be a result of evaluation findings, the act of expansion itself is a structural change to the program rather than the appraisal of the current flu vaccination initiative.
D. Identifying barriers is a critical component of process evaluation. It examines why certain outcomes were not achieved, such as lack of transportation or mistrust of healthcare providers. Understanding these impediments is essential for refining the strategy in subsequent health campaigns.
E. Reporting outcomes to stakeholders is the final step of evaluation, ensuring transparency and accountability. It involves communicating the program's value and providing recommendations for future improvements. This step bridges the gap between the current project and future policy development.
Correct Answer is D
Explanation
Career progression in nursing involves structured changes in professional roles, scope of practice, responsibility level, and skill utilization, often reflecting movement across different functional areas such as direct patient care, coordination, leadership, and system-based practice within healthcare organizations.
Rationale:
A. Career stagnation refers to a lack of professional growth or advancement over time. Moving from bedside nursing to case management reflects advancement and role diversification, not a lack of progression or developmental inactivity in professional practice.
B. Career success describes the achievement of long-term professional goals and satisfaction. While the role change may contribute to success, the term does not specifically define the process of changing roles from direct care to coordination-based practice.
C. Career identity refers to how a nurse perceives their professional role and self-concept within nursing practice. It develops over time but does not specifically describe the act of moving from one role to another within the profession.
D. Career transition is the correct term because it describes a structured shift from one professional role to another, such as moving from bedside nursing to case management, involving changes in responsibilities, competencies, and scope of practice.
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