Module 5: Management of Care | 100 Questions and Answers 100% Verified

A registered nurse (RN) must determine how best to assign co-workers (another RN and one licensed practical nurse [LPN]) to provide care to a group of clients. Which of the following is the best assignment? - The RN is assigned to care for a woman with newly diagnosed leukemia who has a newborn at home. Rationale: To determine what may and may not be delegated to the various co-worker, the RN making the assignment must take into account several factors: the level of care required by each client, both immediately and in the future; the competencies possessed by the co-workers; and the legal limitations on the practice of those co-workers. Self administration of insulin and discharge instructions on dressing changes and medications require teaching, a professional responsibility that the RN may not delegate to anyone except another RN. A man who is visiting his wife in a LT care facility for people with Alzheimer's disease collapses and is transported to a hospital. The client remains unconscious, and testing reveals that he has cancer that has metastasized to bone, brain, and liver. The nursing staff at wife's care facility report to the hospital physician that the client has no other family members and that his wife is mentally incompetent. What information regarding DNR orders does the nurse remember? - That a DNR order may be written by a client's physician. Rationale: In a situation in which a client has no family members who can provide permission for treatment, the physician may write a DNR order if he or she is reasonably and medically certain that resuscitation would be futile. A registered nurse (RN) is supervising a nursing assistant ambulating a client with right-sided weakness. The RN would conclude that the nursing assistant is performing the procedure incorrectly after observing that the nursing assistant - Stands behind the client Rationale: When walking with a client, the nurse should stand on the affected side and grasp the security belt in the mid-spine area of the small of the client's back. The nurse should position the free hand at the shoulder area so that the client may be pulled toward the nurse in the event that there is a forward fall. The client is instructed to look up and outward rather than at his or her feet. A nurse manager has announced a change to computerized documentation of nursing care. A licensed practical nurse (LPN) on the team, resistant to the change, is not taking an active part in facilitatingimplementation of the new procedure. Which of the following strategies would be the best approach to dealing with the conflict? - Confronting the LPN and encouraging him to express his feelings regarding the change