1. Which nursing activities may be safely delegated to competent unlicensed
nursing personnel? Select all that apply.
A. Discharge teaching
B. Blood pressure monitoring
C. Gastrostomy feeding
D. Urinary catheterization
E. Oxygen administration
F. Ambulation assistance: C. Gastrostomy feeding
D. Urinary catheterization
Rationale: Choices B and E are already part of the routine care of the AP which
does not meet the definition of delegated responsibilities. Discharge teaching
(Choice A) is not an activity, skills, or procedure and requires an RN to perform. If
the AP is trained and competent to perform a gastrostomy tube feeding or oxygen
administration, the nurse may delegate those skills.
2. A nurse assures a client experiencing abdominal surgical pain that comfort
measures, including drug therapy, will be provided as the client needs them.
Which ethical principles apply in the situation? Select all that apply.
A. Beneficence
B. Social justice
C. Autonomy
D. Fidelity
E. Veracity: A. Beneficence
D. Fidelity
E. Veracity
Rationale: In this situation, the nurse is planning to provide positive measures
("good") for the client (beneficence) (Choice A) and is obligated to follow-through
with this promise (fidelity) (Choice D) and be truthful (veracity) (Choice E). The client
is not autonomous because of inability to self-manage care (Choice C). Social
justice is about fairness and does not apply in this scenario (Choice B).
3. 1.The nurse provides an SBAR handoff communication regarding a client
whose blood pressure and respiratory rate have decreased. Where will the
nurse include these data as part of the SBAR format?
A. Situation
B. Background
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