An RN delegates to an experienced LPN/LVN the task of administering oral medications to a group of patients
The LPN/LVN accepts the assignment, and the RN knows that the LPN/LVN has had the training and has acquired the skills needed to complete the task. The RN then observes the LPN/LVN recording a patient's medication administration just before entering the patient's room. The priority intervention by the RN is to:
a. check the patient's drug packages to ensure that the correct drugs were given.
b. stop the LPN/LVN immediately and discuss the possible consequences of his actions in a nonjudgmental manner.
c. contact the nurse manager and ask that the LPN/LVN's license be suspended.
d. call the pharmacy and ask for replacement medications for the patients.
ANS: B
Correct: The LPN/LVN has the competency but violated one of the rights of medication administration and is practicing unsafe care. The RN's responsibility requires that he or she intervene and identify concerns with the LPN/LVN.
Incorrect:
a. Checking the patient's drug packages to ensure that the correct drugs were given is not proactive intervention for patient safety because an inappropriate medication could have already been given.
c. The RN must intervene immediately to protect the patient but may later discuss with the nurse manager a plan of corrective action for the LPN/LVN.
d. The first step is to stop the violation of the five rights of medication administration; consequently, medications will not have to be replaced.
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