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A nurse on a med-surg unit has received change-of-shift report & will
care for 4 clients. Which of the following client's needs may the nurse
assign to an assistive personnel (AP)?
A. Feeding a client who was admitted 24 hrs ago w/aspiration
pneumonia
B. Reinforcing teaching w/a client who is learning to walk using a quad
cane
C. Reapplying a condom catheter for a client who has urinary
incontinence
D. Applying a sterile dressing to a pressure ulcer - CORRECT ANSWERS
C. Reapplying a condom catheter for a client who has urinary
incontinence
Rationale: The application of a condom catheter is a noninvasive,
routine procedure that the nurse may delegate to the AP
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A nurse is delegating the ambulation of a client who had knee
arthroplasty 5 days ago to an AP. Which of the following information
should the nurse share with the AP? Select All.
A. The roommate is up independently.
B. The client ambulates w/his slippers on over his antiembolic stockings
C. The client uses a front-wheeled walker when ambulating
D. The client had pain medication 30 min ago
E. The client is allergic to codeine
F. The client ate 50% of his breakfast this morning - CORRECT ANSWERS
B, C, D
An RN is making assignments for client care to a LPN at the beginning of
the shift. Which of the following assignments should the LPN question?
A. Assisting a client who is 24hr postop to use an incentive spirometer
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B. Collecting a clean-catch urine specimen from a client who was
admitted on the previous shift
C. Providing nasopharyngeal suctioning for a client who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump - CORRECT
ANSWERS D. Replacing the cartridge and tubing on a PCA pump
Rationale: The RN is responsible for the PCA pump
A nurse is preparing an in-service program about delegation. Which of
the following elements should she identify when presenting the 5 rights
of delegation? Select all.
A. Right client
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
E. Right circumstances - CORRECT ANSWERS B, C, E
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