As an LVN, you are working in an intraprofessional team on a medical-surgical unit. Which of the following tasks is most appropriate for you to perform in collaboration with the RN?
Interpreting lab results and making clinical decisions based on them.
Administering intravenous medications without supervision.
Developing the initial care plan for a new patient.
Collecting and documenting vital signs and reporting abnormal findings to the RN.
The Correct Answer is D
A. Interpreting lab results and making clinical decisions based on them: Interpretation of diagnostic data and independent clinical decision-making fall within the RN’s scope of practice. The LVN may review results but must not analyze or act on them independently.
B. Administering intravenous medications without supervision: IV medication administration often requires RN oversight and varies by facility policy and state regulations. Performing this independently exceeds the typical LVN scope in many settings.
C. Developing the initial care plan for a new patient: Creating the initial nursing care plan is an RN responsibility because it requires comprehensive assessment and clinical judgment. The LVN may contribute data but does not independently develop the plan.
D. Collecting and documenting vital signs and reporting abnormal findings to the RN: This task is clearly within the LVN scope of practice and supports intraprofessional collaboration. Prompt reporting of abnormal findings allows the RN to assess and intervene appropriately.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Cultural encounter: Cultural encounters involve direct engagement with clients from diverse backgrounds to refine communication and care practices. Reflection on personal biases is not the same as interacting with others.
B. Cultural desire: Cultural desire refers to the motivation and willingness of the nurse to engage in culturally competent care. While related, simply reflecting on biases does not demonstrate motivation alone.
C. Cultural awareness: Cultural awareness is the process of self-examination and reflection on one’s own cultural background, beliefs, and biases, and understanding how these may influence client care. The nurse is recognizing personal prejudices and their potential impact, which is a core component of cultural awareness.
D. Cultural knowledge: Cultural knowledge involves acquiring information about different cultural practices, worldviews, and health-related beliefs. Reflection on personal biases focuses inward rather than on learning about others’ cultures.
Correct Answer is B
Explanation
A. A 15-year-old minor in high school: Minors under 18 generally cannot provide legal consent for medical treatment unless specific statutes apply (e.g., emancipation, certain reproductive or mental health services). A 15-year-old requires parental or guardian consent.
B. A 17-year-old married minor: Marriage often confers legal emancipation, allowing the minor to consent to their own healthcare. Emancipated minors have the legal authority to make medical decisions independently of their parents.
C. A 17-year-old minor traveling abroad: Travel alone does not grant legal capacity for consent. The minor remains under parental authority unless legally emancipated. Medical decisions typically require a parent or guardian.
D. A 16-year-old minor living with their parents: Living independently does not automatically confer legal emancipation. Parental consent is still required for routine healthcare decisions for a 16-year-old unless state-specific laws provide exceptions.
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