delegation practice q

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When delegating you know that as an RN you must follow the 5 Rights of Delegation to make sure you are delegating properly. Select all the 5 Rights of Delegation:

Right communication Right supervision Right task Right person Right circumstance

You're making the patient assignments for the next shift. On your unit there are three LPNs, two RNs, and two nursing assistants. Which patients will you assign to the LPNs? SATA.

A 75 year-old male patient with dementia who has an ileostomy and scheduled tube feedings. A 65 year-old female patient who has an order to remove the Foley catheter.

When care assignments are being made for patients with alterations related to gastrointestinal (GI) cancer, which patient would be the most appropriate to assign to an LPN/ LVN under the supervision of a team leader RN?

A patient who needs enemas and antibiotics to control GI bacteria

Toward the end of the shift, an LPN reports to the RN that the recently hired UAP has not totaled client's I&O for the past 12 hours. Which action should the nurse take?

Ask the UAP if assistance is needed to complete the I&Os.

The nurse is caring for a client with esophageal cancer. Which task could be delegated to a UAP?

Assist the client with oral hygiene.

You are caring for a patient with esophageal cancer. which task could be delegated to the UAP?

Assisting the patient with oral hygiene

A charge nurse is making daily assignments for a medical-surgical unit. Which of the following tasks should the nurse delegate to an assistive personnel (AP)?

Measuring vital signs

A nurse is working with an assistive personnel (AP) in a long-term care facility. According to the 5 rights of delegation, which of the following determinations should the nurse make prior to assigning tasks?

The degree of supervision that the AP will require to complete the task

As the registered nurse, which tasks below should you NOT delegate to the LPN?

Performing an assessment on a new admission Developing a plan of care for a patient who is admitted with Guillain-Barré Syndrome Educating a patient about how to monitor for side effects associated with Warfarin Starting a blood transfusion Administering IV Morphine 2 mg for pain

A nurse delegates the collection of a client's temperature to an assistive personnel (AP). The nurse notes in the documentation that the AP obtained the client's axillary temperature; however, the nurse wanted an oral temperature. The nurse should identify that which of the following rights of delegation should have prevented this situation from occurring?

Right communication

What tasks can not be delegated by the RN?

TAPE Teaching Assessment Planning Evaluation

The nurse has assigned the vital signs and daily weights of her patients to the unlicensed assistive personnel (UAP) on duty for that shift. It is still important for the nurse assigned to the patient to reassess each patient throughout the shift because:

The nurse remains accountable for the patients' care.

A nurse is delegating tasks to an assistive personnel (AP) for the care of a group of clients. Which of the following directions should the nurse provide?

Transport the client in room 203 to the radiology department at 1000


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