Leadership - Delegation
LPN can not do anything that is involved in what process?
ADPIE
Who does not have a license? 1. RN 2. LPN 3. UAP
UAP
Can an institution restrict your scope of practice?
YES
Can a UAP provide catheter care?
Yes
Can a UAP report changes of urine to the RN?
Yes
Can an RN supervise another RN?
Yes
The nurse manager in the medical-surgical outpatient clinic is making assignments. Which task is most appropriate to delegate/assign to the UAP/LPN? 1. Ask the LPN to administer the flu vaccine to the client. 2. Tell the UAP to call the pharmacist to refill a prescription. 3. Request the LPN to obtain the height and weight of the client. 4. Instruct the UAP to empty the trashcans in the clients' rooms.
1. Ask the LPN to administer the flu vaccine to the client.
The charge nurse, a licensed practical nurse (LPN), and two unlicensed assistive personnel (UAPs) are caring for clients. Which action is most appropriate for the charge nurse to assign/delegate? 1. Ask the UAP to apply warm compresses to the client with tinea corporis. 2. Request the LPN to apply antifungal cream to the client with tinea pedis. 3. Tell the UAP to remove the toenail of the client with onychomycosis. 4. Instruct the LPN to administer accutane to the client who is pregnant.
2. Request the LPN to apply antifungal cream to the client with tinea pedis.
Which task should the critical care nurse delegate to the unlicensed assistive personnel (UAP)? 1. Check the pulse oximeter reading for the client on a ventilator. 2. Take the client's sterile urine specimen to the laboratory. 3. Obtain the vital signs for the client in an Addisonian crisis. 4. Assist the HCP with performing a paracentesis at the bedside
2. Take the client's sterile urine specimen to the laboratory.
The RN and unlicensed assistive personnel (UAP) are caring for clients on a postpartum unit. Which task would be most appropriate for the RN to assign to the UAP? 1. Perform an in-and-out catheterization. 2. Complete the client's discharge instructions. 3. Escort the client to the car and check for a car seat. 4. Spray anesthetic foam on the client's episiotomy.
3. Escort the client to the car and check for a car seat.
Can a UAP assess?
No
The nurse and the unlicensed assistive personnel (UAP) are caring for clients on a rehabilitation unit. Which nursing task is most appropriate for the nurse to delegate to the UAP? 1. Flush the triple-lumen lines on a central venous catheter. 2. Demonstrate for the client how to ambulate with a walker. 3. Assist with bowel training by escorting the client to the bathroom. 4. Apply corticosteroid cream to the client with allergic dermatitis.
3. Assist with bowel training by escorting the client to the bathroom.
Which behavior by the unlicensed assistive personnel (UAP) warrants intervention by the long-term care nurse? 1. The UAP is giving the client with a gastrostomy tube a glass of water. 2. The UAP is ambulating the client outside using a safety belt. 3. The UAP is assisting the client with putting a jigsaw puzzle together. 4. The UAP is giving a back rub to the client who is on bed rest.
1. The UAP is giving the client with a gastrostomy tube a glass of water.
. The unlicensed assistive personnel (UAP) is caring for a client diagnosed with chronic venous insufficiency. Which action would warrant immediate intervention from the nurse? 1. The UAP assists the client to apply compression stockings. 2. The UAP elevates the client's leg while sitting in the recliner. 3. The UAP assists the client to the bathroom for a.m. care. 4. The UAP is cutting the client's toenails after soaking the client's feet in tepid water.
4. The UAP is cutting the client's toenails after soaking the client's feet in tepid water.
Most hospitals restrict who's scope of practice?
LPN (as stated by professor Desantis)
The 92-year-old client has a hospital bed in the home and is on strict bed rest. The unlicensed assistive personnel (UAP) cares for the client in the morning 5 days a week. Which statement indicates that the UAP needs additional education by the nurse? 1. "I do not give her a lot of fluids so she won't wet the bed." 2. "I perform passive range-of-motion exercises every morning." 3. "I put her on her side so that there will be no pressure on her butt." 4. "I do not pull her across the sheets when I am moving her in bed."
1. "I do not give her a lot of fluids so she won't wet the bed."
The charge nurse on the rehabilitation unit is making assignments for the day shift. Which assignment would be most appropriate for the licensed practical nurse (LPN)? 1. Have the LPN call the HCP to obtain an order for a diet change. 2. Instruct the LPN to complete the admission assessment. 3. Ask the LPN to teach the client about a high-fiber diet. 4. Request the LPN to obtain the intake and output for the clients.
1. Have the LPN call the HCP to obtain an order for a diet change
The nurse and the unlicensed assistive personnel (UAP) are caring for clients on a medical-surgical unit. Which task should not be assigned to the UAP? 1. Instruct the UAP to feed the 69-year-old client who is experiencing dysphagia. 2. Request the UAP change the linens for the 89-year-old client with fecal incontinence. 3. Tell the UAP to assist the 54-year-old client with a bowel management program. 4. Ask the UAP to obtain vital signs on the 72-year-old client diagnosed with cirrhosis.
1. Instruct the UAP to feed the 69-year-old client who is experiencing dysphagia.
The newly hired nurse is working on a pediatric unit and needs the unlicensed assistive personnel (UAP) to obtain a urine specimen on an 11-month-old infant. Which statement made to the UAP indicates the nurse understands the delegation process? 1. "Be sure to weigh the diaper when obtaining the urine specimen." 2. "Do you know how to apply the urine collection bag?" 3. "Use a small indwelling catheter when obtaining the urine specimen." 4. "I need for you to get a urine specimen on the infant."
2. "Do you know how to apply the urine collection bag?"
The nurse is caring for clients on a vascular unit. Which nursing task is most appropriate to delegate to an unlicensed assistive personnel (UAP)? 1. Tell the UAP to obtain the glucometer reading of the client who is dizzy and lightheaded. 2. Request the UAP to elevate the feet of the client with chronic venous insufficiency. 3. Ask the UAP to take the vital signs of the client who has numbness of the right arm. 4. Instruct the UAP to administer a tap water enema to the client with an aorta aneurysm.
2. Request the UAP to elevate the feet of the client with chronic venous insufficiency
The intensive care unit nurse and a UAP are caring for a client who has had a coronary artery bypass graft (CABG). Which nursing task should the nurse assign to the UAP? 1. Monitor the client's arterial blood gases. 2. Re-infuse the client's blood using the cell saver. 3. Assist the client to take a sponge bath. 4. Change the client's saturated leg dressing.
3. Assist the client to take a sponge bath
The nurse and the UAP enter the client's room and discover that the client is unresponsive. Which action, according to the American Heart Association (AHA) guidelines, should the nurse assign to the UAP first? 1. Ask the UAP to check whether the client is asleep. 2. Tell the UAP to perform cardiac compressions. 3. Instruct the UAP to get the crash cart. 4. Request the UAP to put the client in a recumbent position.
3. Instruct the UAP to get the crash cart.
The nurse and LPN are caring for a client diagnosed with a stroke. Which intervention should the nurse assign to the LPN? 1. Feed the client who is being allowed to eat for the first time. 2. Administer the client's anticoagulant subcutaneously. 3. Check the client's neurological signs and limb movement. 4. Teach the client to turn the head and tuck the chin to swallow.
2. Administer the client's anticoagulant subcutaneously
Can a LPN do dressing changes?
Yes but the RN has to assess
Can RN work independently?
Yes. But they still need orders for medications
Can a UAP tell a pt who has a tracheostomy that "if you feel a tickle in your throat, cough"?
Yes. Giving direction is not the same as patient teaching
Which task should the nurse on the postpartum unit delegate to the unlicensed assistive personnel (UAP)? 1. Instruct the UAP to prepare a sitz bath for the client. 2. Ask the UAP to call the laboratory for a stat complete blood cell (CBC) count. 3. Tell the UAP to show the mother how to breastfeed. 4. Have the UAP check the client's fundus.
1. Instruct the UAP to prepare a sitz bath for the client.
Which task is most appropriate for the nurse to delegate/assign when caring for clients on a surgical unit? 1. Instruct the licensed practical nurse (LPN) to feed the client who is 1 day postoperative unilateral thyroidectomy. 2. Ask another nurse to administer an IVP pain medication to a postoperative client in severe pain. 3. Request the unlicensed assistive personnel (UAP) to check the client whose vital signs are AP 112, RR 26, BP 92/58. 4. Instruct the licensed practical nurse (LPN) to obtain the pre-transfusion assessment on a postoperative client.
2. Ask another nurse to administer an IVP pain medication to a postoperative client in severe pain.
Which task is most appropriate for the clinic nurse to delegate to the unlicensed assistive personnel (UAP)? 1. Request the UAP to ride in the ambulance with a client. 2. Ask the UAP to escort the client in a wheelchair to the car. 3. Instruct the UAP to show the client how to use crutches. 4. Tell the UAP to call the pharmacy to refill a prescription.
2. Ask the UAP to escort the client in a wheelchair to the car.
The client on telemetry is showing ventricular tachycardia. Which action should the telemetry nurse delegate to the unlicensed assistive personnel (UAP)? 1. Have the UAP call the operator and announce the code. 2. Tell the UAP to answer the other call lights on the unit. 3. Send the UAP to the room to start rescue breaths. 4. Ask the family to step out of the room during the code.
2. Tell the UAP to answer the other call lights on the unit
The home health client is diagnosed with chronic obstructive disease. The unlicensed assistive personnel (UAP) tells the home health nurse that the client has trouble breathing when the client lies in a supine position. Which priority instruction should the nurse provide to the UAP? 1. To ensure the client's oxygen is in place correctly. 2. To allow the client to sleep in a recliner. 3. To allow a fan to blow on the client when lying in bed. 4. To have the client take slow, deep breaths.
2. To allow the client to sleep in a recliner.
The nurse is working in a community health clinic. Which nursing task should the nurse delegate to the unlicensed assistive personnel (UAP)? 1. Instruct the UAP to take the client's history. 2. Request the UAP to document the client's complaints. 3. Ask the UAP to obtain the client's weight and height. 4. Tell the UAP to complete the client's follow-up care
3. Ask the UAP to obtain the client's weight and height
The charge nurse is making assignments for a 30-bed cardiac unit staffed with three registered nurses (RNs), three licensed practical nurses (LPNs), and three unlicensed assistive personnel (UAPs). Which assignment is most appropriate by the charge nurse? 1. Assign an RN to perform all sterile procedures. 2. Assign an LPN to give all IV medications. 3. Assign an UAP to complete the a.m. care. 4. Assign an LPN to write the care plans.
3. Assign an UAP to complete the a.m. care. -
The nurse is caring for clients on a skilled nursing unit. Which task should not be delegated to the unlicensed nursing personnel (UAP)? 1. Instruct the UAP to apply sequential compression devices to the client on strict bed rest. 2. Ask the UAP to assist the radiology tech to perform a STAT portable chest x-ray. 3. Request the UAP to prepare the client for a wound debridement at the bedside. 4. Tell the UAP to obtain the intakes and outputs for all the clients on the unit.
3. Request the UAP to prepare the client for a wound debridement at the bedside
The nurse and unlicensed assistive personnel (UAP) are working in a family practice clinic. Which task should the nurse delegate to the UAP? 1. Give the client sample medications for a urinary tract infection (UTI). 2. Show the client how to use a self-monitoring blood glucometer. 3. Answer the telephone triage line and take messages from clients. 4. Take the vital signs of a client scheduled for a physical examination.
4. Take the vital signs of a client scheduled for a physical examination.
How do we know someone is competent?
Have to complete a competency check list
Can an institution expand your scope of practice?
NO
Can a LPN initiate or administer investigational drugs independently?
No
Can a LPN plan?
No
Can a RN delegate a medical procedure to a LPN?
No
Can a UAP remove an ostomy bag with adhesive?
No
Can a LPN administer methotrexate by themselves?
No it is chemo
Can a RN delegate to the LPN to IV push heparin or saline flushes?
Yes. They can only push heparin or saline but no IV push drugs
LPN and UAP can only be delegated tasks for which types of patients?
stable patients
The nurse and LPN have been assigned to care for clients on a neurology unit. Which nursing task is most appropriate to assign to the LPN? 1. Administer the adrenocorticotropic hormone to the client with multiple sclerosis. 2. Take the vital signs for the client who is experiencing status epilepticus. 3. Assist the client with Parkinson's disease to ambulate to the bathroom. 4. Assess the client newly admitted who has pneumonia and restless legs syndrome.
1. Administer the adrenocorticotropic hormone to the client with multiple sclerosis.
The nurse is caring for a client diagnosed with Alzheimer's disease. Which nursing tasks should not be delegated to the unlicensed assistive personnel (UAP)? Select all that apply. 1. Check the client's skin under the restraints. 2. Administer the client's antipsychotic medication. 3. Perform the client's morning hygiene care. 4. Ambulate the client to the bathroom. 5. Obtain the client's routine vital signs
1. Check the client's skin under the restraints 2. Administer the client's antipsychotic medication
The nurse is instructing the unlicensed assistive personnel (UAP) on gross motor skill activity that is appropriate for a developmentally delayed 9-month-old infant. Which activity should the nurse delegate to the UAP? 1. Help the child to sit without support. 2. Teach the child to catch the beach ball. 3. Reward the child with food for sitting up. 4. Teach the child to blow a kiss.
1. Help the child to sit without support.
Which nursing task should the nurse on the renal unit assign to the licensed practical nurse (LPN)? 1. Insert an indwelling urinary catheter before surgery. 2. Turn and reposition the client every 2 hours. 3. Measure and record the urine in the bedside commode. 4. Feed the client who choked on food during the last meal.
1. Insert an indwelling urinary catheter before surgery
The nurse is caring for clients on the renal unit. Which task is most appropriate for the nurse to delegate to the unlicensed assistive personnel (UAP)? 1. Instruct the UAP to calculate the clients' urinary intake and output. 2. Request the UAP to double-check a unit of blood that is being administered. 3. Tell the UAP to change the surgical dressing on the client with a kidney transplant. 4. Ask the UAP to transfer the client from the renal unit to the intensive care unit.
1. Instruct the UAP to calculate the clients' urinary intake and output.
The nurse in the outpatient clinic is working with an unlicensed assistive personnel (UAP). Which tasks are most appropriate for the nurse to delegate to the UAP? Select all that apply. 1. Take the client to the examination room and take the vital signs. 2. Weigh the client and document the weight in the client's chart. 3. Clean the room and set it up for the next client. 4. Discuss the prescriptions prescribed by the healthcare provider. 5. Call the pharmacy to authorize a refill on a client's prescription.
1. Take the client to the examination room and take the vital signs 2. Weigh the client and document the weight in the client's chart. 3. Clean the room and set it up for the next client.
The charge nurse on the rehabilitation unit is assigning/delegating tasks to the unlicensed assistive personnel (UAP) and licensed practical nurse (LPN). Which task is most appropriate for the nurse to delegate/assign? 1. Tell the UAP to elevate client's residual limb above the heart. 2. Instruct the LPN to give the diabetic clients their HS snacks. 3. Request the UAP to insert an indwelling urinary catheter. 4. Ask the LPN to assess the client who may have herpes zoster.
1. Tell the UAP to elevate client's residual limb above the heart.
The clinic nurse is making assignments to the staff. Which assignment/delegation is most appropriate? 1. Request the LPN to escort the client to the examination room. 2. Ask the unlicensed assistive personnel (UAP) to prepare the room for the next client. 3. Instruct the RN to administer the tetanus shot to the client. 4. Tell the clinic secretary to call in a new prescription for a client.
2. Ask the unlicensed assistive personnel (UAP) to prepare the room for the next client
The nurse is working with a licensed practical nurse (LPN) and an unlicensed assistive personnel (UAP) to care for a group of clients. Which nursing task should not be delegated or assigned? 1. The routine oral medications for the clients. 2. The bed baths and oral care. 3. Evaluating the client's progress. 4. Transporting a client to dialysis.
3. Evaluating the client's progress.
Which task would be most appropriate for the nurse on the GI unit to delegate to the unlicensed assistive personnel (UAP)? 1. Request the UAP to draw the serum liver function test. 2. Ask the UAP to remove the nasogastric tube. 3. Tell the UAP to empty the client's colostomy bag. 4. Instruct the UAP to assist the unit secretary to transcribe HCP orders
3. Tell the UAP to empty the client's colostomy bag
Which task should the rehabilitation nurse delegate to the unlicensed assistive personnel (UAP)? 1. Tell the UAP to show the client how to perform self-catheterization. 2. Ask the UAP to place the newly confused client in the inclusion bed. 3. Request the UAP give the client 30 mL of Maalox, an antacid. 4. Encourage the UAP to attend the multidisciplinary team meeting.
4. Encourage the UAP to attend the multidisciplinary team meeting
The nurse on the surgical unit is working with an unlicensed assistive personnel (UAP). Which task is most appropriate for the nurse to delegate to the UAP? 1. Change an abdominal dressing on a client who is 2 days postoperative. 2. Check the client's IV insertion site on the right arm. 3. Monitor vital signs on a client who has just returned from surgery. 4. Escort a client who has been discharged to the client's vehicle.
4. Escort a client who has been discharged to the client's vehicle
The unlicensed assistive personnel (UAP) responds to a code in the newborn nursery. Which task should the house supervisor delegate to the UAP? 1. Tell the UAP to sit with the family in the waiting room. 2. Give medication to the nurse from the crash cart. 3. Assist the nurse anesthetist with intubation. 4. Instruct the UAP to obtain supplies for the code.
4. Instruct the UAP to obtain supplies for the code.
The nurse, a licensed practical nurse (LPN), and the unlicensed assistive personnel (UAP) are caring for clients in a critical care unit. Which task would be most appropriate for the nurse to assign/delegate? 1. Instruct the UAP to obtain the client's serum glucose level. 2. Request the LPN to change the central line dressing. 3. Ask the LPN to bathe the client and change the bed linens. 4. Tell the UAP to obtain urine output for the 12-hour shift.
4. Tell the UAP to obtain urine output for the 12-hour shift.
The primary cardiac nurse is delegating tasks to the unlicensed assistive personnel (UAP). Which delegation task warrants intervention by the charge nurse of the cardiac unit? 1. The UAP is instructed to bathe the client who is on telemetry. 2. The UAP is requested to obtain a bedside glucometer reading. 3. The UAP is asked to assist with a portable chest x-ray. 4. The UAP is told to feed a client who is dysphagic.
4. The UAP is told to feed a client who is dysphagic.
The charge nurse is making assignments on the postpartum unit. Which client should be assigned to the licensed practical nurse (LPN)? 1. The client who has delivered her sixth baby and has just returned to her room. 2. The client who had a C-section yesterday and is running a low-grade fever. 3. The client who had a vaginal delivery this morning and has foul-smelling lochia. 4. The client who is 1 day post-vaginal delivery who is ambulating in the hall.
4. The client who is 1 day post-vaginal delivery who is ambulating in the hall.
Which task is most appropriate for the pediatric nurse to delegate to the unlicensed assistive personnel (UAP)? 1. Ask the UAP to orient the parents and child to the room. 2. Tell the UAP to prepare the child for an endoscopy. 3. Request the UAP to log roll the client who had a spinal surgery. 4. Instruct the UAP to assess the child's developmental level.
1. Ask the UAP to orient the parents and child to the room
Which tasks should the long-term care nurse delegate to the unlicensed assistive personnel (UAP)? Select all that apply. 1. Instruct the UAP to perform the a.m. care for the clients. 2. Tell the UAP to wash the hair of the female clients. 3. Ask the UAP to cut the toenails of the clients. 4. Request the UAP to turn the clients every shift. 5. Instruct the UAP to empty the clients' wastebaskets
1. Instruct the UAP to perform the a.m. care for the clients. 2. Tell the UAP to wash the hair of the female clients
The nurse and the unlicensed assistive personnel (UAP) are caring for a 74-year-old client who is 3 days postoperative right total hip replacement (THR). Which nursing task should be delegated to the UAP? 1. Place the abductor pillow between the client's legs. 2. Ensure the client stays on complete bed rest. 3. Feed the client the evening meal. 4. Check the client's right hip surgical dressing.
1. Place the abductor pillow between the client's legs
Which task is most appropriate for the medical nurse to delegate to the unlicensed assistive personnel (UAP)? 1. Request the UAP to take the diabetic client's HS snack to the client. 2. Ask the UAP to escort the client on the PCA pump to the bathroom. 3. Tell the UAP to witness the client's advance directive. 4. Ask the UAP to show the client how to take the client's radial pulse.
1. Request the UAP to take the diabetic client's HS snack to the client.
Which task is most appropriate for the surgical nurse to assign to the licensed practical nurse (LPN)? 1. Tell the LPN to administer the aminoglycoside antibiotic to the client. 2. Request the LPN to empty the client's indwelling urinary catheter. 3. Instruct the LPN to assess the client who was just transferred from PACU. 4. Ask the LPN to determine if the client understands the discharge teaching.
1. Tell the LPN to administer the aminoglycoside antibiotic to the client
Which task is most appropriate for the charge nurse to assign to the licensed practical nurse (LPN)? 1. Tell the LPN to change the client's subclavian dressing. 2. Request the LPN to obtain the client's daily weight. 3. Assign the LPN to care for the client in myxedema coma. 4. Ask the LPN to complete discharge teaching to the client.
1. Tell the LPN to change the client's subclavian dressing.
Which action by the licensed practical nurse (LPN) requires intervention by the critical care charge nurse? 1. The LPN has the trough drawn after hanging the aminoglycoside. 2. The LPN changes out a "sharps" container that is over the fill line. 3. The LPN asks another nurse to observe wastage of a narcotic. 4. The LPN inserts an indwelling urinary catheter into the client.
1. The LPN has the trough drawn after hanging the aminoglycoside
The nurse is caring for pediatric clients. Which tasks are most appropriate to assign to an unlicensed assistive personnel (UAP) and/or a licensed vocational nurse (LPN)? Select all that apply. 1. Instruct the LPN to teach the parent of a child new diagnosed with type 1 diabetes. 2. Tell the UAP to apply an ice collar to the child who is 1 day postoperative tonsillectomy. 3. Ask the UAP to place ointment on a child's diaper rash around the anal area. 4. Request the LPN to double-check the medication dose for the child receiving an antibiotic. 5. Tell the LPN to transcribe the healthcare provider's orders for the child with cystic fibrosis.
2. Tell the UAP to apply an ice collar to the child who is 1 day postoperative tonsillectomy. 3. Ask the UAP to place ointment on a child's diaper rash around the anal area. 4. Request the LPN to double-check the medication dose for the child receiving an antibiotic. 5. Tell the LPN to transcribe the healthcare provider's orders for the child with cystic fibrosis.
The charge nurse is making shift assignments on a pediatric oncology unit. Which delegation/assignment would be most appropriate? 1. Delegate the unlicensed assistive personnel (UAP) to obtain routine blood work from the central line. 2. Instruct the licensed practical nurse (LPN) to contact the leukemia support group. 3. Assign the chemotherapy-certified RN to administer chemotherapeutic medication. 4. Have the dietitian check the meal trays for the amount eaten.
3. Assign the chemotherapy-certified RN to administer chemotherapeutic medication
The cardiac clinic nurse has told the female unlicensed assistive personnel (UAP) twice to change the sharps container in the examination room, but it has not been changed. Which action should the nurse implement first? 1. Tell the UAP to change it immediately. 2. Ask the UAP why the sharps container has not been changed. 3. Change the sharps container as per clinic policy. 4. Document the situation and place a copy of the documentation in the employee file.
3. Change the sharps container as per clinic policy.
The charge nurse on the endocrine surgical unit is making assignments. Which task should be delegated/assigned to the team members? 1. Request the licensed practical nurse (LPN) assess the client who is hypoglycemic. 2. Ask the unlicensed assistive personnel (UAP) to assist feeding the client with an adrenalectomy who has a paralytic ileus. 3. Instruct the UAP to insert a nasogastric (N/G) tube into the client who has had a thyroidectomy. 4. Tell the LPN to perform an in and out catheterization for the client diagnosed with acromegaly.
4. Tell the LPN to perform an in and out catheterization for the client diagnosed with acromegaly
Which task is most appropriate for the home healthcare nurse to delegate to the unlicensed assistive personnel (UAP)? 1. Instruct the UAP to give the herb ginkgo biloba to the client with Alzheimer's. 2. Ask the UAP to perform the tube feedings for a client with a gastrostomy tube. 3. Request the UAP to perform the daily colostomy irrigation for the client. 4. Tell the UAP to wash and dry the client's hair.
4. Tell the UAP to wash and dry the client's hair.
The charge nurse is making assignments on a pediatric unit. Which client should be assigned to the licensed practical nurse (LPN)? 1. The 6-year-old client diagnosed with sickle cell crisis. 2. The 8-year-old client diagnosed with biliary atresia. 3. The 10-year-old client diagnosed with anaphylaxis. 4. The 11-year-old client diagnosed with pneumonia.
4. The 11-year-old client diagnosed with pneumonia.
Do UAPs have a license?
No they have a certification
The nurse and the unlicensed assistive personnel (UAP) are caring for clients on the pediatric unit. Which action by the nurse indicates appropriate delegation? 1. The nurse requests the UAP to check the circulation on the child with a cast. 2. The nurse asks the UAP to feed an infant who has just had a cleft palate repair. 3. The nurse has the UAP demonstrate a catheterization for a child with a neurogenic bladder. 4. The nurse checks to make sure the UAP's delegated tasks have been completed.
4. The nurse checks to make sure the UAP's delegated tasks have been completed.
The RN and the UAP are caring for clients on a pediatric surgical unit. Which tasks would be most appropriate to delegate to the UAP? Select all that apply. 1. Pass dietary trays to the clients. 2. Obtain routine vital signs on the clients. 3. Complete the preoperative checklist. 4. Change linens on the clients' beds. 5. Document the clients' intake and output.
1. Pass dietary trays to the clients. 2. Obtain routine vital signs on the clients. 4. Change linens on the clients' beds. 5. Document the clients' intake and output.
The nurse is caring for a client diagnosed with a full-thickness burn over the right lower extremity. Which task should the nurse delegate to the UAP? 1. Instruct the UAP to check the client's right dorsalis pedal pulse. 2. Ask the UAP to cleanse the client's dentures and place in the container. 3. Request the UAP to perform passive range-of-motion (ROM) exercises. 4. Tell the UAP to keep the client's right leg in the dependent position.
2. Ask the UAP to cleanse the client's dentures and place in the container
Which task should the postpartum nurse not delegate to the unlicensed assistive personnel (UAP)? 1. Tell the UAP to assess the vital signs of the client 4 hours post-vaginal delivery. 2. Request the UAP to pass out the breakfast trays to the clients. 3. Instruct the UAP to administer Rhogam to the client who is Rh-negative. 4. Ask the UAP to remove the client's indwelling urinary catheter.
3. Instruct the UAP to administer Rhogam to the client who is Rh-negative.
The client diagnosed with renal calculi is 1 hour post-procedure lithotripsy. Which task is most appropriate for the nurse to delegate to the unlicensed assistive personnel (UAP)? 1. Tell the UAP to check the amount, color, and consistency of the client's urine output. 2. Request the UAP to transcribe the client's healthcare provider's orders. 3. Instruct the UAP to strain the client's urine and place any sediment in a sterile container. 4. Ask the UAP to take the client's post-procedural vital signs.
3. Instruct the UAP to strain the client's urine and place any sediment in a sterile container.
The nurse, a licensed practical nurse (LPN), and an unlicensed assistive personnel (UAP) are caring for clients on a medical floor. Which nursing task is most appropriate to assign/delegate? 1. Instruct the UAP to discontinue the client's total parenteral nutrition. 2. Ask the UAP to give the client 30 mL of Maalox for heartburn. 3. Tell the LPN to administer a bulk laxative to a client diagnosed with constipation. 4. Request the LPN to assess the abdomen of a client who has had complaints of pain.
3. Tell the LPN to administer a bulk laxative to a client diagnosed with constipation
Which task should the employee health nurse delegate to the unlicensed assistive personnel (UAP)? 1. Request the UAP read the PPD result administered to the client 72 hours ago. 2. Ask the UAP to obtain a urine specimen for the client having a urine drug screening. 3. Tell the UAP to apply an ice pack to the client who slipped and has a sprained right ankle. 4. Instruct the UAP to complete the incident report for the nurse who had a "dirty needle stick."
3. Tell the UAP to apply an ice pack to the client who slipped and has a sprained right ankle.
Which behavior by the unlicensed assistive personnel (UAP) requires immediate intervention by the nurse? 1. The UAP is refusing to feed the client diagnosed with acute diverticulitis. 2. The UAP would not place the client on the bedside commode who was on bed rest. 3. The UAP placed the client with a continuous feeding tube in the supine position. 4. The UAP placed sequential compression devices on the client who is on strict bed rest.
3. The UAP placed the client with a continuous feeding tube in the supine position
The nurse and licensed practical nurse (LPN) are caring for clients on an oncology unit. Which client should be assigned to the LPN? 1. The client diagnosed with acute leukemia who is on a continuous infusion of antineoplastic medications. 2. The client newly diagnosed with cancer of the lung who is being admitted for placement of an implanted port. 3. The client diagnosed with an ovarian tumor weighing 22 pounds who is being prepared for surgery in the morning. 4. The client diagnosed with pancreatic cancer who complains of frequent, unrelenting abdominal pain.
3. The client diagnosed with an ovarian tumor weighing 22 pounds who is being prepared for surgery in the morning.
Which action by the unlicensed assistive personnel (UAP) indicates to the nurse the UAP understands the correct procedure for applying compression stockings to the client recovering from a pulmonary embolus? 1. The UAP instructs the client to sit in the chair when applying the stockings. 2. The UAP cannot insert one finger under the proximal end of the stocking. 3. The UAP ensures the toe opening is placed on the top side of the feet. 4. The UAP checked to make sure the client's toes were warm after putting the stockings on.
4. The UAP checked to make sure the client's toes were warm after putting the stockings on.
The nurse observes an LPN crushing nifedipine (Procardia XL) before administering the medication to a client with arterial hypertension who has difficulty swallowing pills. Which intervention should the nurse implement first? 1. Tell the LPN to take the client's blood pressure. 2. Take no action since this is appropriate behaviour. 3. Show the LPN where to find pudding for the client. 4. Tell the LPN this medication cannot be crushed.
4. Tell the LPN this medication cannot be crushed
There is an RN overseeing a LPN mixing IV solutions. Is this allowed?
Depends. In Florida, this is allowed if the LPN has completed the 30 hour course.
