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VERIFIED QUESTIONS AND ANSWERS J J J
1. Can an RN delegate to the LPN to provide tracheostomy care to aclient withpneumonia?
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ANS Yes. J
2. A nurse on a med-surg unit has received change-of-
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shift report & will carefor 4 clients.Which of the following client's needs may the nurse assi
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gn to anassistive 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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,ANS C.Reapplying a condomcatheter for a client who has urinary incontinence
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Rationale
ANSThe application of a condom catheter is a noninvasive, routine procedurethat the nurse may de
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legate to the AP J J J
3. A nurse isdelegating the ambulation of aclientwho had knee arthroplasty 5days ago to an
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AP.Which of the following information should the nurse sharewith 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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ANS B, C, D J J J
4. An RN is making assignments for client care to a LPN at the beginning ofthe shift.Whic
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h 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- J J
catch urine specimen from a client who was admitted onthe previous shift
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C. Providing nasopharyngeal suctioning for a client who has pneumonia
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D. Replacingthecartridge and tubing on aPCA pump
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ANS D.Replacingthecartridgeand tubing on a PCA pump
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Rationale
ANSThe 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 she identify
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when presenting the 5 rights ofdelegation? Select all.
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A. Right client J
B. Right supervision/evaluation J
C. Right direction/communication J
D. Right time J
E. Right circumstances J
ANS B, C, E J J J
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 isawaiting transf
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er back to the unit from the PACUfollowing thoracic surgery.To which staff member should t
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he nurse assign tothis client?
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A. Charge nurse J
B. RN
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