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An RN is counseled by the nurse manager regarding inappropriate delegation when the:


A) RN instructs the nursing assistant to greet ambulatory surgery patients and show them to their rooms.
B) nursing assistant informs the RN that she has not been trained to collect a sputum specimen and the RN states, "I will show you this time and you can show me the next time."
C) RN assigns the float LPN/LVN the task of completing a plan of care for a stable patient who was admitted for routine replacement of a feeding tube.
D) LPN/LVN who has demonstrated competence is asked to perform a dressing change for a patient before she is discharged home.

E) B) and C)
F) None of the above

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Which statement related to delegation is correct?


A) The practice of unlicensed assistive personnel (UAP) is defined in the nurse practice act.
B) Nursing practice can be delegated only when the LPN/LVN and/or UAP have received adequate training.
C) Supervision is not required when routine tasks are delegated to a competent individual.
D) The RN must be knowledgeable about the laws and regulations that govern nursing practice, as well as those that have no clearly defined parameters, such as for UAP.

E) A) and B)
F) A) and C)

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An RN recently relocated to another region of the country and immediately assumed the role of charge nurse. When determining the appropriate person to whom to delegate, the RN knows that:


A) the role of the LPN/LVN is the same from state to state.
B) the LPN/LVN can be taught to perform all the duties of an RN if approved by the employer and if additional on-the-job training is provided.
C) he or she must review the state's nurse practice act for LPN/LVNs, because each state defines the role and scope of practice of the LPN/LVN.
D) The Joint Commission has certified and established roles for the LPN/LVN.

E) A) and B)
F) A) and C)

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