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Delegation and Prioritization Flashcards | StudBud
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Delegation and Prioritization
Delegation and Prioritization
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1
An RN from the med-surge unit was asked to float on the orthopedic with no prior experience in. Which pt should she get?
Pt with a cast for a fractured femur with numbness & discolored toes
A pt with balanced skeletal traction and needs assistance with morning care
A pt who had a hip replacement 2 days ago & needs blood glucose monitoring
A pt who had an amputation yesterday & currently has a temp of 101.4 F
2
What VS should the nursing assistant report to the RN
immediately
in an intubated pt?
HR of 98 bpm
Tympanic temp of 101.4 F (38.6 C)
RR of 24 bpm
BP of 168/90 mm Hg
3
While observing a UAP perform client tasks, the nurse will intervene in which situation?
The UAP is labeling a sputum specimen that was just coughed up
The UAP is placing a clear film dressing over a superficial abrasion
The UAP is lowering the head of the bed to help pull a client up
The UAP is reminding a client how to use the call light
4
The charge nurse is making assignments for the shift. Which pt should be given to the RN pulled from the surgical unit?
A 72-year old who needs teaching about the use of incentive spirometry
A 68-year old just returned from bronchoscopy & biopsy
A 58-year old on airborne precautions for TB
A 69-year old with COPD who is ventilator dependent
5
After shift change, you are assigned to care for the following pts. Which should you assess
first
?
A 50-year old with asthma who complains of SOB after using a bronchodilator
A 60-year old pt on a ventilator needing a sterile sputum specimen done
A 55-year old with COPD & a O2 sat reading from the shift before at 90%
A 70-year old with pneumonia who needs an IV start of antibiotics
6
A 16 y.o pt with cystic fibrosis is admitted with increased SOB, possible pneumonia. Which is
most important
to include?
Allow the pt to decide whether she needs aerosolized meds
Plan activities to allow at least 8 h of uninterrupted sleep
Perform postural drainage and chest physiotherapy q4h
Place the pt in a private room to decrease the risk of further infection
7
A pt with sleep apnea has a Ndx of Sleep Deprivation R/T disrupted sleep cycle. Which action should you delegate to UAP?
Discuss weight-loss strategies such as diet and exercise with the pt
Administer modafinil (Provigil) to promote daytime wakefulness
Remind the pt to sleep on his side instead of his back
Teach the pt how to set up the BiPAP machine before sleeping
8
Which client task can the registered nurse (RN) safely delegate to an unlicensed assistive personnel (UAP)?
Calculate & document the pt's I & O
Monitor the pt's O2 sat after ambulation
Teach the pt how to use their incentive spirometer
Apply topical ointment to a superficial abrasion
9
If a pt has pulled out their IV and is bleeding from the insertion site, what should be done
first
?
Notify the provider ASAP
Hold pressure for a minute, then reinsert a new IV even if pt is bleeding
Hold pressure over the insertion site until bleeding has stopped
Have nursing assistant hold pressure on the site & the RN notify the HCP
10
An RN delegates a wound irrigation to an LPN who hasn't done it in a long time. What should be done to ensure pt safety?
Assign another LPN to assist with the procedure
Verbally descibe how to perform the procedure to the LPN
Delegate the procedure to another LPN
Have the LPN demonstrate how to perform the procedure
11
Which client task would be appropriate for the registered nurse (RN) to delegate to a licensed practical nurse (LPN)?
Assess the pt's initial VS
Complete the pt's discharge paperwork
Update the pt's care plan to reflect new goals
Check GRV & administer the pt's enteral tube feeding
12
A first-year nursing student in the clinical area is given an appropriate pt assignment by the instructor. They should..
Help other students to complete their assigned tasks whenever necessary
Assume accountability for the tasks that are assigned by the instructor
Complete the care indicated on the pt's plan of care
Accept the role of leader of the pt's health-care team
13
What does hypovolemia mean?
Low fluid volume
Slow thyroid function
High fluid volume
High potassium levels
14
After delegating to a nursing assistant or LPN, an error occurred in pt care...who's at fault?
The RN
The nursing assistant or LPN
The pt
The doctor
15
How do you learn someone's competency in the workforce as an RN?
Look at their resume to see what their education level is
Observe them doing the task for the first time to verify they are competent
Assume they know what they are doing based off their title
Ask them if they are capable of doing the task
16
What is the priority action when caring for a pt experiencing a seizure?
Notify the physician
Record the time the seizure began
Administer O2
Protect the pt's head
17
The 5 Rights of Delegation: Which is one in addition to
right task, right person, right communication, & right time
?
Supervision
Route
Place
Feedback
18
A pt has COPD. Which intervention for airway management should you delegate to a nursing assistant?
Assisting the pt to sit up on the side of the bed
Auscultation of breath sounds q4h
Teaching the pt to use incentive spirometry
Instructing the pt to cough effectively
19
What does the A stand for in the pneumonic regarding delegation?
Actions
Assignment
Assessment
Advice
20
Which pt will the nurse see
first
?
A patient with a bp of 130/80 mm Hg
A diabetic pt with a blood sugar of 150 mg/dL
A pt with acute pain 3/10
A post-op pt with a temperature of 101 F
