The RN head nurse is having a busy day. When the LPN/LVN reports ...

[pepyto]

The RN head nurse is having a busy day. When the LPN/LVN reports data she has collected, the RN states, Incorporate that into the nursing care plan and write down the intervention you'd use. I'll co-sign the entry. The LPN/LVN should
 
  a. do as requested.
  b. ask the advice of the shift supervisor later in the shift.
  c. tell the RN that this action is not within the LPN/LVN scope of practice.
  d. write a letter to the state board of nursing to report the RN's unprofessional conduct.

Question 2

The phases of the nursing process in which the LPN/LVN participates with the greatest degree of independence are
 
  a. goal setting and evaluation.
  b. planning and implementation.
  c. data collection and implementation.
  d. evaluation and data collection.

[johnpizzaz]

Answer to Question 1

ANS: C
The RN is responsible for determining the nursing care plan. The LPN/LVN collects data that the RN may use to modify the plan, but the LPN/LVN may not independently modify the plan. If the LPN/LVN functions outside the identified scope of practice, he or she would be breaking the law. The remaining options do not directly address the problem at the time it occurs.

Answer to Question 2

ANS: C
The LPN/LVN curriculum trains graduates to collect data and implement a variety of nursing interventions, making a high degree of independence possible in these areas. Goal setting, evaluation, and planning all require a greater degree of interdependence with the RN.

[pepyto]

TYSM

[patma1981]

Thanks for the timely response, appreciate it