Nclex priority and delegation 2022 Questions and Well Explained Answers
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Nclex priority and delegation 2022 Questions and Well Explained Answers 1. After undergoing a cardiac catheterization, a patient has a large puddle of blood under his buttocks. What is the nurse's ... priority action? Assess the groin. This establishes the source of the blood, and determines how much blood has been lost. The goal is to stop the bleeding. The nurse would call for help if needed after the assessment of the situation. After determining the extent of the bleeding, vital sign assessment is important. The nurse should never move the patient, in case a clot has formed. Moving can disturb the clot and cause re-bleeding. 2. The nurse is making assignments for the next shift. Which patient can be assigned to a licensed practical nurse/licensed vocational nurse (LPN/LVN)? Select all that apply. A patient who needs assistance with colostomy irrigation A patient who is receiving glargine subcutaneously. An LPN/LVN can perform colostomy irrigation and administer subcutaneous injections. A patient who just had CABG is unstable and needs to be monitored by an RN. The initial admission assessment should also be performed by an RN. C3 to C5 injury may cause respiratory compromise. Possible paralysis of diaphragm due to phrenic nerve involvement may occur. This patient is unstable and should be assigned to an RN. [Show More]
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