The physician gives the LPN an order to administer a bag of Packed Red Blood Cells (PRBCs) to a patient with a low hemoglobin. According to the Nurse Practice Act, which action by the LPN is correct?
The LPN takes vital signs on the client and then administers the red blood cells
The LPN tells the doctor, “That is outside my scope of practice; you will have to find someone else.”
The LPN delegates the vital signs to the nurse’s aide while she administers the red blood cells
The LPN takes the vital signs on the client and asks the charge RN to administer the red blood cells
The Correct Answer is D
Choice A reason: Administering PRBCs is outside the scope of practice for LPNs in most jurisdictions. Blood transfusions require RN-level training and monitoring due to the risk of severe transfusion reactions.
Choice B reason: While it is correct that administering PRBCs is outside the LPN’s scope, simply refusing without ensuring patient safety is not appropriate. The LPN must escalate the order to the RN or charge nurse to ensure the patient receives timely care.
Choice C reason: Delegating vital signs to a nurse’s aide while administering PRBCs is unsafe and outside the LPN’s scope. The LPN cannot administer blood products, and vital signs during transfusion must be closely monitored by a licensed nurse.
Choice D reason: The correct action is for the LPN to take vital signs and then ask the charge RN to administer the PRBCs. This ensures patient safety, complies with the Nurse Practice Act, and maintains proper delegation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Trendelenburg position (head down, feet elevated) is contraindicated in patients with breathing difficulty because it increases pressure on the diaphragm and worsens respiratory distress.
Choice B reason: Sims position is a side-lying posture used for rectal exams or procedures, not for relieving dyspnea. It does not optimize lung expansion or ease breathing.
Choice C reason: Orthopneic position (sitting upright, leaning forward with arms supported on a bedside table) is the priority intervention for difficulty breathing. This position maximizes lung expansion, reduces pressure on the diaphragm, and facilitates accessory muscle use, improving oxygenation.
Choice D reason: Supine position worsens breathing difficulty by limiting chest expansion and increasing pressure on the diaphragm. It is inappropriate for a patient in respiratory distress.
Correct Answer is ["A","C","D","E"]
Explanation
Choice A reason: Medication errors are a major patient safety risk in healthcare facilities. They can occur during prescribing, dispensing, or administration and may result in adverse drug events, prolonged hospitalization, or even death.
Choice B reason: Falling off a ladder is not a typical patient safety risk within a healthcare facility. Patients are not expected to use ladders in clinical settings, so this option is irrelevant.
Choice C reason: Pressure ulcers are a significant risk, especially for immobile or critically ill patients. They result from prolonged pressure on the skin and can lead to infection, pain, and increased length of stay. Preventive measures such as repositioning and skin care are essential.
Choice D reason: Falling out of bed is a common safety risk, particularly for elderly or confused patients. Falls can cause fractures, head injuries, and other complications, making fall prevention a priority in healthcare facilities.
Choice E reason: Latex reactions are a recognized safety risk, especially for patients with latex allergies. Exposure can cause mild skin irritation or severe anaphylaxis. Facilities must use latex-free products for sensitive patients.
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