(Ch. 4 - Nursing Delegation Book)

Of the following new patients, who should be assessed first by the nurse? A. A patient with a diagnosis of alcohol abuse with impending delirium tremens (DTs). B. A patient with a newly casted fractured fibula, complaining of pain. C. A patient admitted two hours ago who is scheduled for a nephrectomy in the morning. D. A patient diagnosed with appendicitis who has a temperature of 37.8°C (100.2°F) orally.

A. A patient with a diagnosis of alcohol abuse with impending delirium tremens (DTs)

What task should the 3 p.m. to 11 p.m. nurse delegate to the NAP to be completed first? a. restocking the linen closet b. respositioning a patient who is due to be turned c. rechecking vital signs that were elevated at noon d. transporting a patient who is to be discharged to the front door of the hospital

c. rechecking vital signs that were elevated at noon

The nurse is starting the shift at 11 p.m. What should be delegated to the NAP initially? a. assessing the pedal pulses of a patient who arrived on the floor at 5 p.m., new post-op femoral popliteal graft placement b. passing fresh water to all of the patients c. taking vital signs on assigned patients prior to midnight d. turning off the IV pump alarm that is beeping

c. taking vital signs on assigned patients prior to midnight

You received report on the following patients. Who would you make patient care rounds on first? A. Patient who is severely allergic to peanuts who just ate potato chips fried in peanut oil B. Patient who is now comfortable but has had several episodes of breakthrough pain since the previous day C. Patient who is concerned that he had no bowel movement for two days. D. Patient who is scheduled for pneumonectomy today.

A. Patient who is severely allergic to peanuts who just ate potato chips fried in peanut oil

The staff RN's assignment on the 7 a.m. to 3 p.m. shift includes a newly admitted patient with pneumonia who has arrived on the unit, a new postoperative surgical patient requesting pain medication, and a patient diagnosed with nephrolithiasis who is complaining of nausea. What should the nurse do first after shift report? A. Assess the newly admitted pneumonia patient. B. Give morphine to the new postoperative patient. C. Set up the 9 a.m. medications. D. Administer Zofran (Ondansetron hydrochloride) to the patient complaining of nausea.

A. Assess the newly admitted pneumonia patient.

The nurse is making out the assignment sheet. Which patient's task is least appropriate to delegate to the NAP? A. Assessing patient breathing B. Taking blood pressures C. Ambulating patients D. Transporting patients

A. Assessing patient breathing

The nurse has been assigned to a medical-surgical unit on a stormy day. Three of the staff can't make it in to work, and no other staff is available. How will the nurse proceed? Select all that apply. A. Prioritize care so that all patients get safe care. B. Provide nursing care only to those patients to whom the nurse is regularly assigned. C. Have the patients' families and ambulatory patients take care of the other patients. D. Refuse the nursing assignment, as the increased number of patients makes it unsafe.

A. Prioritize care so that all patients get safe care.

The NAP asks the nurse if it would be okay to watch the nurse and learn how to do a sterile dressing change on an abdominal wound. What is the best response for the nurse? A. "Yes it is good for you to learn how to do as much as you can" B. "Okay, but sterile dressings are only performed by licensed personnel." C. "I don't want you to watch as it makes me nervous" D. "Why do you want to watch me?"

B. "Okay, but sterile dressings are only performed by licensed personnel."

Which patient task should you delegate to the NAP? A. Completing a daily dressing change B. Ambulating patients every four hours C. Inserting a rectal suppository D. Teaching about diabetic diet and insulin requirements

B. Ambulating patients every four hours

The NAP reports to the nurse that a patient with a laryngectomy is complaining of shortness of breath (SOB). Which task can the nurse delegate to the NAP by the nurse in this situation? A. Listen to the patient's lungs B. Put the patient in a high Fowler's position. C. Suction the patients tracheotomy tube D. Change the dressing on the patient's incision.

B. Put the patient in a high Fowler's position.

A new graduate RN who has just received her assignment asks the charge nurse, "Of the list of patients assigned to me, who do you think I should assess first?" What is the best response the charge nurse could? A. "check the policy and procedure manual for who to assess first." B. "Assess the patients in order of their room number to stay organized." C. "I would assess the patient who is having respiratory distress first." D. "See the patient who takes the most time last."

C. "I would assess the patient who is having respiratory distress first."

The nurse has just finished the change of shift report. Which patient should the nurse assess first? A. A postoperative cholecystectomy patient who is complaining of pain but received an IM injection of morphine five minutes ago. B. A postoperative appendectomy patient who will be discharged in the next few hours. C. A patient with asthma who had difficulty breathing during the prior shift. D. An elderly patient with diabetes who is on the bedpan.

C. A patient with asthma who had difficulty breathing during the prior shift.

What task may the nurse delegate to NAP? A. Transport a patient on a cardiac monitor to X-ray. B. Give tracheotomy care C. Bathe stable patients D. Remove sutures

C. Bathe stable patients

Which patient will the nurse see first? A. The patient who is being discharged in a few hours. B. The patient who requires daily dressing changes. C. The patient who is receiving continuous IV Heparin per pump. D. The patient who is scheduled for an IV Pyelogram this shift

C. The patient who is receiving continuous IV Heparin per pump.

The nurse has just completed listening to morning report. Which patient will the nurse see first? A. The patient who has a leaking colostomy bag. B. The patient who is going for a bronchoscopy in two hours. C. The patient with a sickle cell crisis and an infiltrated IV. D. The patient who has been receiving a blood transfusion for the last two hours

C. The patient with a sickle cell crisis and infiltrated IV