Delegation/Supervision

A nurse on a medical-surgical unit is assigning tasks to an assistive personnel (AP). Which of the following tasks should the nurse delegate to the AP? (Select all that apply.) Select one or more: a. Ambulate a client who has a cane. b. Irrigate a wound. c. Demonstrate the technique to instill eye drops. d. Transfer a client to a stretcher. e. Record urinary output.

A D E

A nursing assistant uses the call light system to inform the RN that she has found a client on the floor in the bathroom. Which of the following instructions by the RN to the assistant is best?

Stay with the client until I get there

Which of the following is most appropriate for the RN to delegate to a nursing assistant?

Assisting a client with a history of a cardiovascular accident and expressive aphasia with his meal.

The nurse is evaluating care on a medical/surgical unit. The nurse determines that delegated tasks are appropriate if a nursing assistant performs which of the following?

Reminds and encourages a client to practice the postoperative exercises he was taught on the previous day.

When planning delegation of tasks to assistive personnel (AP), a nurse considers the five rights of delegation. Which of the following should the nurse consider when using one of the five rights of delegation?

The right person is one of the five rights of delegation. The nurse should seek information from the AP about his individual skill level before delegating the task. The AP has the knowledge and skill to perform the task. The right person is one of the five rights of delegation. The nurse should seek information from the AP about his individual skill level before delegating the task.

The nurse is making client assignments for the evening. One of the LPN's is a new graduate on orientation. Which of the following clients would be an appropriate care assignment for the LPN?

A 72-year-old client with chronic diverticulitis.

A nurse is delegating care of patients. Which tasks should the nurse delegate to the nursing assistant and LPN? Select one or more: a. LPN: give oral Lasix, Aspirin and a multivitamin to a patient b. Nursing assistant: change a pressure ulcer dressing c. LPN: administer a routine IV push medication d. LPN: complete the admission history of a patient e. Nursing assistant: check vital signs on a patient being discharged today

A & E

The charge nurse is making client assignments for the evening shift. One of the LPN's is a new graduate in orientation. Which of the following clients would be an appropriate care assignment for the LPN?

A 72-year-old client with chronic obstructive pulmonary disease.

Which of the following tasks is appropriate for the nurse to delegate to an experienced nursing assistant? Select one or more: a. Observe the returns from a continuous bladder irrigation from a patient who has just returned from a transurethral prostatectomy. b. Observe a patient diagnosed with diabetes mellitus on his first practice injection technique using an orange. c. Obtain a clean catch urine specimen from a patient with a urinary tract infection. d. Assist a patient with pneumonia, a low grade fever, and productive cough, in transferring from the bed to a chair for a meal. e. Obtain a 24-hour diet recall from a patient recently admitted with anorexia nervosa.

A C D

A nurse and an experienced licensed practical nurse (LPN) are caring for a group of clients. Which of the following tasks should the nurse delegate to the LPN? (Select all that apply.) Select one or more: a. Provide discharge instructions to a confused client's spouse. b. Administer a tap-water enema to a client who is preoperative. c. Initiate a plan of care for a client who is postoperative from an appendectomy. d. Obtain vital signs from a client who is 6 hr postoperative. e. Catheterize a client who has not voided in 8 hr.

B D E Rationale: Providing discharge instructions to a confused client's spouse is incorrect. The nurse is responsible for delegating a task to the person who has proper training and skill. Client education is the responsibility of the registered nurse. Obtaining vital signs from a client who is 6 hr postoperative is correct. Obtaining is a task that is appropriate to the education and skills of an LPN. Administering a tap-water enema to a client who is preoperative is correct. Administering a tap-water enema is a task that is appropriate to the education and skills of an LPN. Initiating a plan of care for a client who is postoperative from an appendectomy is incorrect. Planning care is the responsibility of the registered nurse. Catheterizing a client who has not voided in 8 hr is correct. Urinary catheterization is a task that is appropriate to the education and skills of an LPN.