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Questions and Answers b b
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1. Can an RN delegate to the LPN to provide tracheostomy care to a client with p
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neumonia?
ANSWER Yes. g
2. A nurse on a med-surg unit has received change-of-
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shift report & will care for 4 clients. Which of the following client's needs may th
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e nurse assign to an assistive personnel (AP)?
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A. Feeding a client who was admitted 24 hrs ago w/aspiration pneumonia
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B. Reinforcing teaching w/a client who is learning to walk using a quad cane
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C. Reapplying a condom catheter for a client who has urinary incontinence
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D. Applying a sterile dressing to a pressure ulcer
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ANSWER C. Reapplying a condom catheter for a client who has urinary incontine
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nce
Rationale
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,ANSWERThe application of a condom catheter is a noninvasive, routine procedure that
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he nurse may delegate to the AP
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3. A nurse is delegating the ambulation of a client who had knee arthroplasty 5 d
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ays ago to an AP. Which of the following information should the nurse share wit
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h the AP? Select All.
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A. The roommate is up independently.
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B. The client ambulates w/his slippers on over his antiembolic stockings
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C. The client uses a front-wheeled walker when ambulating
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D. The client had pain medication 30 min ago
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E. The client is allergic to codeine
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F. The client ate 50% of his breakfast this morning
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ANSWER B, C, D b b b
4. An RN is making assignments for client care to a LPN at the beginning of the
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shift. Which of the following assignments should the LPN question?
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A. Assisting a client who is 24hr postop to use an incentive spirometer
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B. Collecting a clean- b b
catch urine specimen from a client who was admitted on the previous shift
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C. Providing nasopharyngeal suctioning for a client who has pneumonia
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,D. Replacing the cartridge and tubing on a PCA pump
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ANSWER D.Replacing the cartridge and tubing on a PCA pump
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Rationale
ANSWERThe RN is responsible for the PCA pump
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, 5. A nurse is preparing an in-
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service program about delegation. Which of the following elements should s
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he identify when presenting the 5 rights of delegation? Select all.
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A. Right client b
B. Right supervision/evaluation b
C. Right direction/communication b
D. Right time b
E. Right circumstances b
ANSWER B, C, E b b b
A and D are rights of medication administration
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6. A nurse manager of a med-
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surg unit is assigning care responsibilities for the oncoming shift. A client is awa
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iting transfer back to the unit from the PACU following thoracic surgery.To which
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staff member should the nurse assign to this client?
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A. Charge nurse b
B. RN
C. LPN
D. AP
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