Finding a client sitting on the floor, nurse calls for help from UAP
Get a BP cuf
Assigning a UAP to assist client with personal care
Prescribed activity level
The ICU is full and short staffed, so nursing super info
...
Finding a client sitting on the floor, nurse calls for help from UAP
Get a BP cuf
Assigning a UAP to assist client with personal care
Prescribed activity level
The ICU is full and short staffed, so nursing super informs charge nurse in the med dept that one
nurse must float to the ICU
Staf nurse who was cross-trained to work in the critical
care dept
Charge nurse developing guidelines for a coronary care unit
The scope of standards of practice from the American
nurses association
Which patient should be assigned to a nurse that is floated from maternity unit
Post op hysterectomy
There has been a major disaster. Triage nurse should give which patient priority
Cut over eye
Delegate to LPN
Dressing change
Move which patient to medical surgical unit
Patient with ABNL liver levels
One open bed in ICU but reserved for patient coming from PACU with respiratory problems, what to do
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A+
Take patient to ICU and arrange for respiratory patient to
stay in PACU
UAP giving complete bath-which patient is more concern
Patient with dyspnea (SOB when lying flat)
ER nurse getting moved to L&D, what patient should leader assign
Patient with episiotomy infection
DNR
Notify the family
Against medical Advice (AMA)with and IV
RN removes IV, sign the document AMA form
Prescriptions-telephone
repeat order back to doctor to make sure it is correct
Assign UAP
hygiene, feeding, ADLS, ROM, ambulation
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A+
Confidentiality-emergency department
don’t give out information about patient, don’t talk about patients
condition in front of people, keep records safe
Malpractice
negligence by professional personnel
Ex: buring client with hot heating pad, ignoring s/s of bleeding, giving wrong medication
Patient bill of rights
show pt there bill of rights, they have the right to see their chart and
anything regarding their care
Assign PN-scope of practice
No assessments, teaching (newly DX'd), IV's, blood transfusions,
no suicide patients, no critical patients
Assignments-new grad
graduate nurse supervised by RN, what pt to give? Infusing antibiotic
or choosing catheter port
Unsafe nurse
after nurse goes through rehab she can do her job regularly
1. Which member of the health care team is accountable for initial assessment and ongoing evaluation
of client care?
Correct 1
Registered nurse
2
Licensed practical nurse
3
Primary health care provider
4
Unlicensed nursing personnel
The registered nurse is accountable for the initial assessment and ongoing evaluation of the client. A
licensed practical nurse is not accountable for initial assessment and ongoing evaluation of the client. The
primary health care provider is accountable for diagnosing the problem and reviewing the client responses.
An unlicensed nursing personnel performs the tasks delegated by the registered nurse or other delegators.
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A+
2. Which team member is most accountable when delegating a task to the healthcare
team? 1
Certified technician
Correct 2
Registered nurse (RN)
3
Licensed practical nurse (LPN)
4
Unlicensed assistive personnel (UAP)
The registered nurse (RN) on the healthcare team is most accountable when delegating a task to the team.
The certified technician on the healthcare team is responsible for the assigned task. Similarly, the LPN and
UAP are also responsible for the assigned task.
3. Which healthcare professional would the nurse know is held accountable for the tasks performed by
the patient care associate (PCA)?
Correct 1
Registered nurse (RN)
2
Licensed vocational nurse (LVN)
3
Unlicensed assistive personnel (UAP)
4
Unlicensed nursing practitioner (UNP)
The delegator is held accountable for tasks performed by the delegatee. In this situation, the delegator is the
RN; therefore, the RN is held accountable for the tasks performed by the PCAs. The RN is also
accountable for delegation to LVNs, UAPs, and UNPs as delegatees.
4. The registered nurse is evaluating the statements made by a student nurse after teaching ways to
make appropriate delegation decisions. Which statement made by the student nurse indicates a need
for correction?
1
"The delegatee should report the findings back to the delegator.
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