Delegation Questions

You are evaluating and assessing a patient with a diagnosis of chronic emphysema. The patient is receiving oxygen at a flow rate of 5mL/min by nasal cannula. Which of the finding concerns you immediately? A. The patient has fine basilar cracks B. The patient's respiratory rate is 8 breaths/min C. The patient sits up and leans over the night table D. The patient has a large barrel chest

B. The patient's respiratory rate is 8 breaths/min

You are acting as preceptor for a newly graduated RN during her second week of orientation. You would assign the new RN under your supervisions to provide care to which patients? SATA A. 38 year old with a moderate persistent asthma awaiting discharge B. 63 year old with a tracheostomy needing tracheostomy care every shift C. 56 year old with lung cancer who has just undergone left lower lobectomy D. 49 year old just admitted with a new diagnosis of esophageal cancer

A. 38 year old with a moderate persistent asthma awaiting discharge B. 63 year old with a tracheostomy needing tracheostomy care every shift

An experienced LPN, under the supervision of the team leader RN, is providing nursing care for a patient with respiratory problem. Which actions are appropriate to the scope of practice of an experienced LPN? SATA A. Asculatate Breath sounds B. Administer medications via metered dose inhaler C. Complete in-depth admission assessment D. Initaite the nursing care plan E. Evaluate the patient's technique for using MDI's

A. Asculatate Breath sounds B. Administer medications via metered dose inhaler

You are providing care for a patient with a recently diagnosed with asthma. Which key points would you be sure to include in your teaching plan for this patient? SATA A. Avoid potential environment asthma triggers such as smoke B. Use the inhaler 30 mints before exercising to prevent bronchospasm C. Wash all bedding in cold water to reduce and destroy dust mites D. Be sure to get at least 8 hours of rest and sleep every night E. Avoid foods prepared with monosodium glutamate (MSG)

A. Avoid potential environment asthma triggers such as smoke B. Use the inhaler 30 mints before exercising to prevent bronchospasm D. Be sure to get at least 8 hours of rest and sleep every night E. Avoid foods prepared with monosodium glutamate (MSG)

The nursing assistant tells you that a patient who is receiving oxygen at a flow rate of 6L/min by nasal cannula is complaining or nasal passage discomfort. What intervention should you suggest to improve that patient's comfort for this problem? A. Suggest that the patient's oxygen be humidified B. Suggest that a simple face mask be used instead of nasal cannula C. Suggest that the patient be provided with an extra pillow D. Suggest that the patient sit up in a chair at the bedside

A. Suggest that the patient's oxygen be humidified

You are supervising an RN who was pulled form medical surgical floor to the emergency department. The nurse is providing care for a patient admitted with anterior epistaxis. Which of these directions would you clearly proved to the RN? SATA A. Position the patient supine and turned on his side B. Apply direct lateral pressure to the nose for 5 minutes C. Maintain universal body substances precautions D. Apply the ice or cool compress to the nose E. Instruct the patient not to blow the nose for several hours

B. Apply direct lateral pressure to the nose for 5 minutes C. Maintain universal body substances precautions D. Apply the ice or cool compress to the nose E. Instruct the patient not to blow the nose for several hours

The home care nurse has been managing a client for 6 weeks. What is the best method to determine the quality of care provided by a home care aide assigned to assist with he care of this client. A. Ask client and family if they are satisfied with care given B. Determine if the home health aide's care is consistent with the plan of care C. Investigate if the home health aide is prompt and stays an appropriate length of time D. Check the documentation of the aide for appropriateness and comprehensiveness

B. Determine if the home health aide's care is consistent with the plan of care

A staff nurse complains to the nurse manager that an UAP consistently leaves the work area untidy and doss not restock supplies. The best initial response by the nurse manager is which of these? A. I will arrange for a conference with you and the UAP within a week B. I can assure you that I will look into the matter C. I wold like for you to approach the UAP about the problem the next time it occurs D. I will add this concern to the agenda for the next unit meeting

C. I wold like for you to approach the UAP about the problem the next time it occurs

Which one of these tasks can be safely delegated to a licensed practical nurse (LPN)? A.Assess the function of a newly created ileostomy B. Care for a client with a recent complicated double barrel colostomy C. Provide stoma care with a well functioning ostomy D. Teach stony care to a client and their family

C. Provide stoma care with a well functioning ostomy

A patient with sleep apnea has a nursing diagnosis of Sleep Deprivation related to disrupted sleep cycle. Which action should you delegate to the nursing assistant? A. Discuss weight-loss strategies such as diet and exercise with the patient B. Teach the patient how to set up the BiPAP macing before sleeping C. Remind the patient to sleep on his side instead of on his back D. Administer modafinil (Provigil) to promote daytime wakefulness

C. Remind the patient to sleep on his side instead of on his back

You are supervising a student nurse who is performing tracheotomy care for a patient. For which action by the student should you intervene? A. Suctioning the tracheostomy tube before performing tracheostomy care B. Removing old dressings and cleaning off excess secretions C. Removing the inner cannula and cleaning using universal precautions D. Replacing the inner cannula and cleaning the stoma site E. Changing the soiled tracheostomy ties and securing the tube in place

C. Removing the inner cannula and cleaning using universal precautions

The measurement and documentation of vital signs is expected for clients in a long term facility. Which staff type would it be a priority to delegate these tasks to? A. Practical Nurse (PN) B. Registered Nurse (RN) C. Unlicensed Assistive Nursing personnel (UAP) D. Volunteer

C. Unlicensed Assistive Nursing personnel (UAP)

A nurse from a medical-surgical unit has been asked to work on the orthopedic unit. The medical-surgical nurse has orthopedic nursing experience. Which client should be assigned to the medical-surgical unit? A. a client with a cast for a fractured femur and who has a numbers and discoloration of the toes B. a client with balanced skeletal traction and who needs assistance with morning care C. A client who had an above the knee amputation yesterday and has a temperature of 101.4 D. A client who has a total hip replacement 2 days ago and needs blood glucose monitoring

D. A client who has a total hip replacement 2 days ago and needs blood glucose monitoring

The nurse in a same-day unit assigns the unlicensed assistive personnel to provide a hernia patient with a lunch tray. Which statement by the nurse is most appropriate? A. Tell the family they can bring in a pizza if the patient would prefer that B. Make sure the patient gets at least 2 cartons of milk C. Stop the IV if the patient is able to eat solid food D. Encourage the patient to eat slowly to prevent gas

D. Encourage the patient to eat slowly to prevent gas

The RN delegates the task of taking vital signs of all the clients on the medical surgical unit to an unlicensed assistive personnel. Specific written instructions are given to not take a post-mastectomy client's BP in the left arm. Later as the RN is making rounds, she finds that the BP cuff is on the client's left arm. Which of these statements is most accurate? A. The RN has no accountability for this situation B. The RN did not delegate appropriately C. The UAP is covered by the RN's license D. The UAP is responsible for following instructions

D. The UAP is responsible for following instructions

A preceptor is working with a new nurse and notes that the new nurse is reluctant to delegate tasks to members of the care team. Th nurse preceptor recognizes that this reluctance most likely is due to... A. role modeling behaviors of the preceptor B. the philosophy of the new nurse's school of nursing C. the orientation provided to the new nurse D. lack of trust in the team members

D. lack of trust in the team members