Which nursing actions can the registered nurse (RN) delegate to a ...

[sabina]

Which nursing actions can the registered nurse (RN) delegate to a licensed practical/vocational nurse (LPN/LVN)? (select all that apply)?
 
  a. Ask a newly admitted patient about home use of herbal medications.
  b. Administer prescribed naproxen (Naprosyn) to a patient with osteoarthritis.
  c. Provide a gentle back rub to a patient who is having difficulty falling asleep.
  d. Teach a patient with heart disease about the benefits of fish oil supplements.
  e. Evaluate whether home use of aloe has affected a patient's electrolyte levels.

Question 2

The nurse performs a preoperative assessment on a patient before surgery. Which finding would require immediate follow-up by the nurse?
 
  a. The patient uses several herbal remedies routinely.
  b. The patient recently visited a chiropractor for back pain.
  c. The patient has used acupressure to relieve postoperative nausea in the past.
  d. The patient expresses a wish to use acupuncture for postoperative pain control.

[yeungji]

Answer to Question 1

ANS: B, C
LPN/LVN education and scope of practice includes administration of medications and therapies such as massage. Assessment, patient teaching, and evaluation of the effects of medications require more education and should be done by the RN.

Answer to Question 2

ANS: A
Many herbs prolong bleeding time, so further assessment of the types of herbs that are used and how recently they were used is needed before the patient has surgery. The other information given by the patient also requires further assessment, but will not affect the timing of the patient's surgery.

[sabina]

Excellent

[patma1981]

Gracias!