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Delegation in Nursing (Pearson Review) TEST BANK QUESTIONS, ANSWERS & RATIONALES 2024/2025
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Delegation in Nursing (Pearson Review) TEST BANK QUESTIONS, ANSWERS & RATIONALES 2024/2025
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Delegation in Nursing (PearsonReview)
The registered nurse (RN) need to delegate care of an assigned client to an unlicensed
assistive person (UAP) for the shift. Which patron might be quality to delegate to the UAP?
1. A purchaser who would benefit from talking approximately the latest dying of her husband.
2. A patron with a urinary drainage catheter and nasogastric feedings who is on bedrest.
3. A patron with an ostomy who has chronic troubles with leakage.
4. A customer who was transferred from the critical care unit three days in the past and is
ambulatory. - ANS4. A customer who become transferred from the vital care unit three days
in the past and is ambulatory.
Rationale:
Factors to bear in mind while delegating care consist of complexity of task, problem-solving
innovation required, unpredictability, and stage of purchaser interplay. The ambulatory
purchaser is first-rate to delegate because this consumer is possibly to be strong with a low
level of unpredictability. The purchaser who lately lost her husband could benefit from pro-
fessional communique with the RN and requires a excessive level of customer interaction.
The client receiving enteral feedings and is immobilized represents a greater complex
patron, who is higher assigned to a licensed nurse. The consumer with a leaking ostomy
could advantage from problem-solving innovation and is quality cared for through the RN.
Which project might not be appropriate for the registered nurse (RN) to delegate to a
licensed practical nurse (LPN) or unlicensed assistive personnel (UAP)?
1. Instructing the LPN to enhance teaching of the RN's assigned customers previous to
discharge.
2. Assigning UAPs to finish critical signs and record and report changes to the RN.
Three. Asking the UAP to evaluate and compare the consumer reaction to IV pain medicinal
drug.
Four. Instructing the LPN to remove a dressing from a postoperative client's abdominal
wound. - ANS3. Asking the UAP to assess and compare the customer reaction to IV pain
medication.
Rationale:
The decision to delegate should be steady with the nursing procedure (suitable evaluation,
planning, implementation, and assessment). The person responsible for patron assessment,
prognosis, care making plans, and assessment is the registered nurse. The LPN can give a
boost to teaching previously finished by using the RN. Assistive personnel may perform
simple nursing interventions, but the RN remains chargeable for analyzing the information
and the consumer final results. The LPN can exchange a dressing.
, A purchaser is experiencing respiration misery. Respirations are 32 breaths/min and shallow.
The patron is placed in an orthopneic function, with a heart price of 118/min and a blood
stress of ninety/40 mm Hg. The customer is faded and confused. Which challenge ought to
the nurse delegate to the price nurse?
1. Head-to-toe evaluation
2. Placement of a 2nd IV web page
three. Application of oxygen
four. Overhead page the respiratory therapist (RT) - ANS2. Placement of a 2nd IV web site.
Rationale:
The rate nurse ought to be used to finish a challenge inside the RN's scope of practice,
inclusive of beginning an intravenous line, whilst leaving client evaluation to the assigned
nurse. The assigned nurse need to complete a head-to-toe evaluation. The nurse assigned
to the client knows more approximately the client than different nurses at the unit do, and
may determine a change within the customer's status. The software of oxygen is a
assignment for the nurse assigned to the consumer. Given the information supplied inside
the state of affairs, the nurse should follow the oxygen right away to rectify low oxygen
stages. The unit secretary ought to web page RT to the room stat for help.
After receiving the intershift file, the registered nurse (RN) has many tasks to complete
during the next 12 hours. Which responsibilities might the nurse delegate to an unlicensed
assistant character (UAP)? Select all that practice.
1. Flushing a nasogastric tube on a patron who has had a colectomy.
2. Irrigating a clogged urinary catheter on an older grownup client.
3. Rechecking vital symptoms on a 30-yr-antique customer with a BP of 100/60.
Four. Changing a dressing on a purchaser with an inflamed diabetic foot ulcer.
Five. Measuring and recording hourly urine output for a purchaser who underwent
nephrectomy. - ANS3. Rechecking critical signs and symptoms on a 30-yr-vintage consumer
with a BP of one hundred/60.
5. Measuring and recording hourly urine output for a client who underwent nephrectomy.
Rationale:
The UAP can measure critical symptoms and report the findings to the RN. The UAP can
measure and file the urine output, even though the RN could want to make similarly checks
approximately the patron's fame. The RN ought to irrigate the nasogastric tube and irrigate
the urinary catheter as those aren't within the UAP's scope of exercise and task description.
A purchaser with an inflamed wound should have the dressing modified by the RN for
assessment of effectiveness of wound remedy and complications.
The registered nurse (RN) is assigned to 5 clients for the shift. Which tasks are high-quality
delegated to the licensed sensible/vocational nurse (LPN/LVN)? Select all that practice.
1. Repositioning a nasogastric tube on a consumer who has had a small bowel resection.
2. Irrigating a urinary catheter on a customer admitted from a professional nursing facility.
3. Rechecking critical signs on a forty-12 months-antique asymptomatic client with a BP of a
hundred/64.
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