A licensed practical/vocational nurse who is in her second year of an Associate's Degree in Nursing on a path to become a registered nurse has recently
begun working in an oncology unit and has been assigned by the RN on her team to access the client's port-a-cath and administer intravenous chemotherapy. The RN had attended the same nursing school to become an RN and knew that the licensed practical/vocational nurse was taught how to access a port-a-cath and had learned about chemotherapy. How should the nurse respond to the RN's directive?
A) Perform the assigned task and administer the medication to the best of her ability since it is within her recent training
B) Perform the assigned task and administer the medication with the RN present and have the RN chart the task
C) Inform the RN that she is only going to perform the task and administer the medication because the RN delegated it
D) Inform the RN that although she has the training, the task is not covered by her current license
Ans: D
Feedback:
The RN delegated an inappropriate task for the licensed practical/vocational nurse (LPN/LVN) since the task is not covered by the LPN/LVN license. It is the responsibility of both the person delegating the task and the person receiving the delegation to determine if the task is appropriate or not and to communicate with each other if there is a discrepancy. While attending the registered nurse program, the LPN/LVN may not perform the duties of the licensed RN. It is not appropriate for the LPN/LVN to perform the task and administer the medication in the presence of the RN and have the RN chart it; such an action jeopardizes both licensed individuals. Most of all, such actions would risk the safety of the client.
You might also like to view...
Apnea is characterized by cessation of respirations for more than ____________________ seconds
Fill in the blank(s) with correct word
A client has a skin condition in which the melanocytes are destroyed causing milk-white patches of depigmented skin surrounded by normal skin. This condition is called:
a. keratinitis c. melanocyte dysfunction b. vitiligo d. dermatitis
The family of a client diagnosed with a stroke asks the nurse if this health problem is very common. The nurse should respond that in the United States a person has a stroke every:
1. 40 seconds. 2. 1 minutes. 3. 2 minutes. 4. 5 minutes.
The nurse is working with the family of a child with a chronic condition. The family seems to be overwhelmed with the care and in need of a periodic break from the care
The nurse is most likely to talk with the family about which of the following solutions to this problem? a. devising a rotation of family coverage c. using friends to give the family a rest b. scheduling respite care d. getting a babysitter