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,A nurse manager of a med surg unit is assigning care
responsibilities for the oncoming shift. A client is waiting transfer
back to the unit from the PACU following thoracic surgery. To
which staff member should the nurse assign the client?
Charge nurse
RN
LVN
AP - ✔✔✔ANSWER-B
What can be delegated to Assistive personnel (AP)? -
✔✔✔ANSWER-- ADLs - bathing - grooming - dressing -
ambulating - feeding (w/o swallow precautions) - positioning -
bed making - specimen collection - I&O - VS (stable clients
A nurse on a med surg unit has recieved change of shift
report and will care for 4 clients. Which of the following
clients needs will the nurse assign to an AP?
Feeding a client who was admitted 24 hours ago
with aspiration pneumonia
Reinforcing teaching with a client who is learning to walk
with a quad cane
Reapplying a condom catheter for a client who has
urinary incontinence
, Applying a sterile dressing to a pressure ulcer -
✔✔✔ANSWER-C
A nurse is delegating the ambulation of a client who had
knee arthroplasty 5 days ago to an AP. Which of the
following info should the nurse share with the AP?
Select all:
A. the roommate is up independently
The client ambulates with his slippers on over his
antiembolic stockings
The client uses a front wheeled walker when ambulating
The client had pain meds 30 minutes ago
The client is allergic to codeine
the client ate 50 % of his breakfast this morning -
✔✔✔ANSWER-B
C
D
An RN is making assignments for client care to an LPN at the
beginning of the shift. Which of the following assignments
should the LPN question?
Assisting a client who is 24 hr postop to use an
incentive spirometer
, Collecting a clean catch urine specimen from a client who
was admitted on the previous shift
providing nasopharyngeal suctioning for a client who
has pneumonia
Replacing the cartridge and tubing on a PCA pump -
✔✔✔ANSWER-D
jehovah's witness - ✔✔✔ANSWER--no blood
-avoid foods having or prepared with blood
judiasm - ✔✔✔ANSWER--kosher diet-cannot have dairy and
meat in the same meal and veggies and meat have to be cooked
in different parts of the kitchen
mormonism - ✔✔✔ANSWER--avoid alcohol, tobacco
and caffeine
A nurse is preparing an inservice program about delegation.
Which of the following elements should she identify when
presenting the 5 rights of delegation. Select all:
Right client
Right supervision/evaluation
Right direction/communication