The expanded role of LPNs in medication administration now includes:
IV push medications in some states
Adjusting medication dosages
Discontinuing physician orders
Prescribing medications independently
The Correct Answer is A
A. IV push medications in some states: Many states allow LPNs to administer IV push medications after completing additional training and certification. This expanded role increases their responsibilities in medication administration while remaining within legal and scope-of-practice boundaries.
B. Adjusting medication dosages: LPNs are not authorized to independently modify prescribed dosages. Changes to medication orders require approval from a licensed prescriber or RN under defined protocols.
C. Discontinuing physician orders: LPNs cannot independently discontinue orders. Such actions require a licensed prescriber’s instruction or an RN acting under defined protocols.
D. Prescribing medications independently: Prescriptive authority is restricted to licensed prescribers such as physicians, nurse practitioners, or physician assistants. LPNs cannot prescribe medications under any circumstances.
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Related Questions
Correct Answer is A
Explanation
A. Asking patients about their cultural preferences:Demonstrating cultural sensitivity involves actively seeking to understand each patient’s beliefs, values, and practices. This approach ensures care is respectful, individualized, and culturally appropriate.
B. Following standardized care protocols for everyone:While standard protocols ensure safety and consistency, they do not account for individual cultural needs. Sensitivity requires adapting care when appropriate to honor cultural differences.
C. Assuming all patients share similar values:Making assumptions about cultural beliefs can lead to misunderstandings and insensitive care. Each patient’s values and preferences should be assessed individually.
D. Avoiding discussions about cultural differences:Avoidance prevents understanding and may result in care that conflicts with the patient’s cultural values. Open, respectful communication is essential for culturally sensitive nursing.
Correct Answer is C
Explanation
A. To determine in which geographical area it is best to practice:Knowledge of nursing history does not provide specific guidance on geographic practice locations. Decisions about practice location are influenced by job availability, population needs, and personal preference.
B. To reduce the cost of delivering quality health care:While understanding nursing history may provide context for healthcare evolution, it does not directly impact cost reduction strategies in clinical practice.
C. To understand the professional choices open to the student:Studying nursing history helps students appreciate the development of the profession, understand various roles and career paths, and make informed choices about their future professional opportunities.
D. To prevent making medication errors in practice:Preventing medication errors relies on clinical knowledge, pharmacology, and safe practice protocols rather than historical knowledge of the profession.
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