VATI RN Comprehensive Predictor Practice Concepts and Complete Solutions.

Private rooms Correct Answer are required for clients who have an infectious disease that requires airborne precautions, or clients who require a protective environment._______ _____ are preferred for clients who are on droplet and contact precautions. These clients can cohort if no _______ ______ are available and if all of the following are true. ●The clients have the same active infection with the same micro-organisms. ●The clients remain at least 3 feet away from each other. ●The clients have no other existing infection. ______ _______ is also preferred for the following clients. ●Client who are agitated ●Client who have dementia and a history of wandering ●Clients who require a quiet environment (those at risk for increased intracranial pressure [stroke, traumatic brain injury]) ●Clients who are at risk for sensory overload (those who are having pain, are acutely ill, have invasive tubes [nasogastric, IVs, endotracheal], or have reduced cognitive function [head injury]) ●Clients who require privacy (those who are near death) Prior to delegating client care, consider the following. Correct Answer Predictability of outcome ●Will the completion of the task have a predictable outcome? ●Is it a routine treatment? ●Is it a new treatment? Potential for harm ●Is there a chance that something negative can happen to the client (risk for bleeding, risk for aspiration)? ●Is the client unstable? Complexity of care ●Are complex tasks required as a part of the client's care? ●Is the delegatee legally able to perform the task and do they have the skills necessary? Need for problem solving and innovation ●Is nursing judgment required while performing the task? ●Does it require nursing assessment skills? Level of interaction with the client ●Is there a need to provide psychosocial support or education during the performance of the task? Examples of tasks nurses can delegate to practical nurses and assistive personnel Correct Answer TO PN Monitoring findings (as input to the RN's ongoing assessment)Reinforcing client teaching from a standard care planPerforming tracheostomy careSuctioningChecking NG tube patencyAdministering enteral feedingsInserting a urinary catheterAdministering medication (excluding IV medication in some states). TO AP Activities of daily living (ADLs) Bathing Grooming Dressing Toileting Ambulating Feeding (without swallowing precautions). Positioning Routine tasks. Bed making. Specimen collection Intake and output Vital signs (for stable clients). Right direction/communication (five rights of delegations) Correct Answer Data that needs to be collected ●Method and timeline for reporting, including when to report concerns/findings ●Specific task(s) to be performed; client-specific instructions ●Expected results, timelines, and expectations for follow-up communication