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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
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may the 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
B. Reinforcing teaching w/a client who is learning to walk using a quad ca
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ne
C. Reapplying a condom catheter for a client who has urinary incontinenc
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e
D. Applying a sterile dressing to a pressure ulcer -
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CORRECT ANSWERS C. Reapplying a condom catheter for a client who h
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as urinary incontinence
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Rationale: The application of a condom catheter is a noninvasive, routine
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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 arthroplast
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y 5 days ago to an AP. Which of the following information should the nurs
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e share with 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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CORRECT ANSWERS B, C, D
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An RN is making assignments for client care to a LPN at the beginning of t
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he 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-
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catch urine specimen from a client who was admitted on the previous shi
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ft
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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CORRECT ANSWERS D. Replacing the cartridge and tubing on a PCA pum
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p
Rationale: The RN is responsible for the PCA pump
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A nurse is preparing an in-
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service program about delegation. Which of the following elements shou
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ld she identify when presenting the 5 rights of delegation? Select all.
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A. Right client
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B. Right supervision/evaluation
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C. Right direction/communication
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D. Right time
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E. Right circumstances - CORRECT ANSWERS B, C, E
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A and D are rights of medication administration
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A nurse manager of a med-
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surg unit is assigning care responsibilities for the oncoming shift. A client i
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s awaiting transfer back to the unit from the PACU following thoracic surg
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ery. To which staff member should the nurse assign to this client?
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A. Charge nurse
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B. RN b
C. LPN b
D. AP - CORRECT ANSWERS B. RN
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