Which statement is true regarding the general delegation liability of the registered nurse (RN)?

It is high because the RN is automatically held liable for the tasks delegated to all recognized subordinates.

It is minimal because subordinates alone are held accountable for practicing within the accepted scope of practice for their job classification.

is reduced when the RN delegates appropriately and supervises the completion of the tasks.

It is avoided entirely as long as the nurse delegates only other licensed personnel

Answer and Explanation

The Correct Answer is C

A.   While RNs can be held liable for their actions and, to some extent, for the actions of those they delegate to, liability is not automatic for all tasks delegated. Liability depends on whether the RN acted appropriately in the delegation process and whether the delegated tasks were performed within the subordinate's scope of practice.
B.   While subordinates are accountable for their actions, RNs also share responsibility when they delegate tasks. If the RN delegates a task inappropriately or fails to supervise adequately, they may still be held liable for any resulting harm.
C.   This statement is true. When RNs delegate tasks appropriately, ensuring that they are within the subordinate's scope of practice and providing adequate supervision, their liability is reduced. Proper delegation includes assessing the situation, providing clear instructions, and monitoring the outcomes.
D.   While delegating to licensed personnel may reduce some liability, it does not eliminate it entirely. RNs still have a duty to ensure that the tasks delegated are appropriate for the individual’s scope of practice and to provide supervision.

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Correct Answer is A

Explanation

A. Sickle cell disease is classified as an autosomal recessive disorder. This means that a child must inherit two copies of the mutated gene (one from each parent) to express the disease. Individuals with one normal and one mutated gene are carriers (sickle cell trait) but do not exhibit symptoms.
B. X-linked genetic disorders are caused by mutations on the X chromosome and typically affect males more severely than females, as males have only one X chromosome. Sickle cell disease is not located on the X chromosome; therefore, it is not classified as X-linked.
C. In an autosomal dominant disorder, only one copy of the mutated gene is needed for an individual to express the disease. Sickle cell disease does not follow this inheritance pattern; it requires two copies of the mutated gene, which makes this classification inaccurate.
D. While sickle cell disease is indeed an inherited disorder, this term is broad and could apply to many genetic conditions. It describes the general nature of the disease but does not provide the specificity that "autosomal recessive disorder" does.

A. Performing assessments of the client's hydration status. B. Administering the prescribed metronidazole 500 mg orally to the client. C. Reviewing client's medical history for any risk factors for diarrhea. D. Explaining the purpose of the ordered stool cultures to the client and family.

Correct Answer is B

Explanation

A. While LPNs can perform some assessments, the charge nurse should assign this task to an RN. Assessing hydration status requires critical thinking and a comprehensive understanding of the client's overall clinical condition, which typically falls within the RN’s scope of practice.
B. Administering medications, including antibiotics like metronidazole, is within the scope of practice for LPNs. As long as the LPN is competent in administering medications and there are no specific contraindications for the client, this task can be appropriately assigned.
C. This task involves critical thinking and comprehensive analysis of the client's medical history, which is typically conducted by an RN. While LPNs may review aspects of the medical history, the charge nurse should assign more complex evaluations and assessments to RNs.
D. While LPNs can provide some patient education, explaining the rationale behind specific tests, especially in the context of complex infections, typically requires the knowledge and expertise of an RN. This task may involve more detailed clinical reasoning and the ability to address specific questions and concerns that the client or family may have.

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Which statement is true regarding the general delegation liability of the registered nurse (RN)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which term best describes sickle cell disease?

Correct Answer is A

Explanation

A client with frequent watery stools and a possible Clostridium difficile infection is hospitalized with dehydration. Which nursing action should the charge nurse assign to an LPN?

Correct Answer is B

Explanation

A registered nurse has been leading teams of nursing assistive personnel (NAP) for several years and will soon be leading licensed practical nurses (LPNs) for the first time. In preparation for delegating to these nurses, the RN should:

A nurse accidentally administers the wrong medication to a client, which results in a severe allergic reaction and prolongs the client's hospitalization. The client could rightfully sue the nurse for which of the following?

A nurse is obtaining a health history from a client. Which of the following findings should the nurse identify as possible risk factors for iron deficiency anemia?(Select All that Apply.)

A member of the team has been delegated some tasks and reports, "I've been given too much to do and I'm not going to be able to complete the work on time." What is the RN's best initial action?

A nurse is admitting a client who has sickle cell anemia. Which of the following manifestations should the nurse expect with this condition?(Select All that Apply.)

A nurse is providing discharge teaching to a client who had a sickle cell crisis. Which of the following health promotion strategies should the nurse include in the teaching?(Select All that Apply.)

A nurse is assessing a child who is in sickle cell crisis. Which of the following findings should the nurse expect?