N588: Practice Questions

•In the care of patients with pain and discomfort, which task is most appropriate to delegate to the UAP? •A. Assisting the patient with the preparation of a sitz bath •B. Monitoring the patient for signs of discomfort while ambulating •C. Coaching the patient to deep breathe during painful procedures •D. Evaluating relief after applying a cold compress

A

•The charge nurse assigned the care of a patient with acute renal failure and hypernatremia to you, a new grad nurse. Which actions should you delegate to the UAP? •A. Provide oral care every 3-4 hours •B. Monitor for indications of dehydration •C. Administer 0.45% NS via IV •D. Assess daily weights for trends

A

•You are caring for a patient with esophageal cancer. Which task could be delegated to a nursing assistant? •A. Assist the patient with oral hygiene. •B. Observe the patient's response to feedings. •C. Facilitate expression of grief or anxiety •D. Initiate daily weighings

A

•Which action should you delegate to the UAP for the patient with DKA? (Select all that apply) •A. Check and interpret fingerstick glucose results Q 1 hour •B. Record intake and output every hour •C. Measure VS Q 15 min •D. Assess for indicators of fluid imbalance

BC

•In the care of a patient with neutropenia, what tasks can be delegated to a UAP? (Select all that apply.) •A. Take VS Q 4 hr •B. Report temperature of more than 100.4F (38 C) •C. Assess for sore throat, cough, or burning with urination •D. Gather the supplies to prepare the room for protective isolation •E. Report superinfections, such as candidiasis •F. Practice good handwashing technique

ABDF

•You are preparing to care for a 6-year-old who has just undergone allogenic stem cell transplantation and will need protective environmental isolation. Which nursing tasks will you delegate to a UAP? (Select all that apply.) •A. Stocking the patient's room with the needed PPE •B. Teaching the patient to perform thorough hand washing after using the bathroom •C. Reminding visitors to wear a respirator mask, gloves, and gown •D. Posting the precautions for protective isolation on the door of the patient's room •E. Talking to the family about the reasons for the isolation

ACD

•Which of following patients are appropriate for the RN to assign to a LPN? Select all that apply. •A. A patient who needs to ambulate for the first time after a thoracotomy. •B. A patient who needs pre-op teaching before a skin graft. •C. A new patient who needs an admission assessment. •D. A patient who has a unit of whole blood that has been infusing for 1 hour. •E. A patient who has a repeat bone marrow biopsy scheduled for tomorrow

ADE

•The nurse should use which guideline(s) to plan delegation and assignment-making activities? (Select all that apply.) •A. Ensuring patient safety •B. Requests from the staff •C. The clustering of rooms on the unit •D. The number of anticipated discharges •E. Patient needs and workers' needs and abilities

AE

•When planning care for a group of patients with alterations related to GI cancer, which would be the most appropriate to assign to a LPN? •A. A patient with severe anemia secondary to GI bleeding •B. A patient who needs enemas and antibiotics to control GI bacteria •C. A patient who needs preoperative teaching for bowel resection surgery •D. A patient who needs central line insertion for chemotherapy

B

•A nurse is delegating patient care assignments for the shift. Which is appropriate for the RN to delegate to the UAP? •A. Providing a dressing change •B. Evaluating pain relief after administering pain medication •C. Collecting I & O •D. Selecting a menu for a low-sodium diet

C

•A patient with VRE (vancomycin-resistant enterococcus) infection is admitted to the medical unit. Which action can be delegated to the UAP? •A. Teach the patient and family about means to prevent transmission of VRE •B. Communicate with other depts when the patient is transported for ordered tests •C. Implement contact precautions when caring for the patient •D. Monitor the results of lab culture and sensitivity tests

C

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

C

•For a patient who is experiencing side effects from radiation therapy, which task would be the most appropriate to delegate to a UAP? •A. Help the patient to identify patterns of fatigue •B. Recommend participation in a walking program •C. Report the amount and type of food consumed from the tray •D. Check the skin for redness and irritation after the treatment

C

•The RN is planning the care for his group of patients for the day. Which is the most appropriate assignment for an unlicensed assistive personnel (UAP)? •A. A patient requiring a colostomy irrigation •B. A patient receiving continuous tube feedings •C. A patient who requires urine specimen collections •D. A patient with difficulty swallowing food and fluids

C

•A nurse is working with a UAP on the pediatric floor. Which task should the nurse have the UAP perform first? •A. Collect a stool sample for ova and parasites from a 2-year old child •B. Ambulate a post-op 5-year-old child to the playroom •C. Assist the nurse in bathing a 14-year-old child who has a handicap •D. Feed a 9-year-old child with bilaterally burned upper extremities

D

•A patient has severe pain and bladder distention related to urinary retention and possible obstruction. An experienced nursing assistant states that she received training in Foley catheter insertion at a previous job. What task can be delegated to this UAP? •A. Assess the bladder distention and the pain associated with urinary retention •B. Insert the Foley, once you ascertain that she knows sterile technique •C. Evaluate the relief of pain and bladder distention after the catheter is inserted •D. Measure the urine output after the catheter is inserted and obtain a urine specimen

D

•An 8-year-old has stomatitis secondary to chemotherapy. What task would be most appropriate to delegate to a UAP? •A. Report evidence of severe mucosal ulceration •B. Assist the child in swishing and spitting anesthetic mouthwash •C. Assess the child's ability and willingness to drink through a straw •D. Help the patient to eat a bland, moist, soft diet

D

•The RN is giving a bed bath to an assigned patient when an UAP enters the patient's room and tells the nurse that another assigned patient needs something for pain. What is the most appropriate nursing action? •A. Finish the bed bath and then administer the pain med. •B. Ask the UAP to find out when the last pain med was given to the patient. •C. Ask the UAP to tell the patient in pain that a pain med will be given as soon as the bath is completed. •D. Cover the patient, raise the side rails, tell the patient that you will return shortly, then administer the pain med to the other patient.

D

•The RN is preparing assignments for the day shift. Which of the following patients should the nurse assign to the LPN? •A. A patient with chronic renal failure who is being admitted to undergo peritoneal dialysis. •B. A patient with angina whose laboratory findings for cardiac enzymes are pending. •C. A patient who has a pleural effusion and bilateral chest tubes. •D. A patient who is two days postop following a hip replacement.

D

•The nurse employed in a long-term care facility is planning assignments for the patients on a nursing unit. The nurse needs to assign four patients and has a LPN and three UAP's on a nursing team. Which patient would the nurse most appropriately assign to the LPN? •A. A patient who requires a bed bath •B. An older patient requiring frequent ambulation •C. A patient who requires hourly vital sign measurements •D. A patient who requires abdominal wound irrigations and dressing changes every 3 hours

D