Prioritization Chapter 8 Endocrine Management Revised

Prioritization Chapter 8 Endocrine Management RevisedPRIORITIZATION CHAPTER 8 ENDOCRINE MANAGEMENT REVISED REVIEW Chapter 8 Endocrine Management 2. Which task is most appropriate for the medical nurse to delegate to the unlicensed assistive personnel (UAP)? 1. Request the UAP to take the diabetic client’s HS snack to the client. 2. Ask the UAP to escort the client on the PCA pump to the bathroom. 3. Tell the UAP to witness the client’s advance directive. 4. Ask the UAP to show the client how to take the client’s radial pulse. Correct answer: 1 1. The UAP can take food to the client since this is not a medication and the client is stable. 2. The client on a PCA pump is under the influence of narcotic analgesics and should be on bed rest, not ambulated to the bathroom. 3. None of the hospital employees should witness the client’s advance directive. 4. The nurse cannot delegate teaching to the UAP. MAKING NURSING DECISIONS: The nurse should not delegate assessment, teaching, evaluation, medications, or an unstable client to the UAP. 3. Which task is most appropriate for the charge nurse to assign to the licensed practical nurse (LPN)? 1. Tell the LPN to change the client’s subclavian dressing. 2. Request the LPN to obtain the client’s daily weight. 3. Assign the LPN to care for the client in myxedema coma. 4. Ask the LPN to complete discharge teaching to the client. Correct answer: 1 1. The LPN can change sterile dressings according to his or her scope of practice. 2. The UAP can obtain the client’s weight; therefore, it should not be assigned to the LPN 3. The client in myxedema coma is not a stable client and should be assigned to the nurse, not the LPN. {Myxedema coma is a complication of severe hypothyroidism} 4. Teaching should not be assigned to the LPN, only to the nurse. MAKING NURSING DECISIONS: The RN should not assign assessment, teaching, evaluation, or the care of an unstable client to an LPN. If any task can be assigned to a UAP, then it should not be assigned to an LPN.