588 test 2
An 8-year-old has stomatitis secondary to chemotherapy. What task would be most appropriate to delegate to a NA?
Help the patient to eat a bland, moist, soft diet
The RN is preparing assignments for the day shift. Which of the following patients should the nurse assign to the LPN?
A patient who is two days postop following a hip replacement.
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 patient who needs enemas and antibiotics to control GI bacteria
Which of following patients are appropriate for the RN to assign to a LPN? Select all that apply.
A patient who needs to ambulate for the first time after a thoracotomy.
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 patient who requires abdominal wound irrigations and dressing changes every 3 hours
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 patient who requires urine specimen collections
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 NA? (Select all that apply.)
Stocking the patient's room with the needed PPE, reminding visitors to wear a respirator mask, gloves, and gown, posting the precautions for protective isolation on the door of the patient's room
You are caring for a patient with esophageal cancer. Which task could be delegated to a nursing assistant?
Assist the patient with oral hygiene.
In the care of patients with pain and discomfort, which task is most appropriate to delegate to the NA?
Assisting the patient with the preparation of a sitz bath
A nurse is delegating patient care assignments for the shift. Which is appropriate for the RN to delegate to the NA?
Collect I/O
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?
Cover the patient, raise the side rails, tell the patient that you will return shortly, then administer the pain med to the other patient.
The nurse should use which guideline(s) to plan delegation and assignment-making activities? (Select all that apply.)
Ensuring patient safety, patient needs and workers' needs and abilities
A nurse is working with a NA on the pediatric floor. Which task should the nurse have the NA perform first?
Feed a 9-year-old child with bilaterally burned upper extremities
A patient with VRE (vancomycin-resistant enterococcus) infection is admitted to the medical unit. Which action can be delegated to the NA?
Implement contact precautions when caring for the patient
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 NA?
Measure the urine output after the catheter is inserted and obtain a urine specimen
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 NA?
Provide oral care every 3-4 hours
Which action should you delegate to the NA for the patient with DKA? (Select all that apply)
Record intake and output every hour, measure VS Q 15 min
A patient with sleep apnea has a nursing diagnosis of Sleep Deprivation related to disrupted sleep cycle. Which action should you delegate to the NA?
Remind the patient to sleep on his side instead of his back
For a patient who is experiencing side effects from radiation therapy, which task would be the most appropriate to delegate to a NA?
Report the amount and type of food consumed from the tray
In the care of a patient with neutropenia, what tasks can be delegated to a NA? (Select all that apply.)
Take VS Q 4 hr, report temperature of more than 100.4F (38 C), gather the supplies to prepare the room for protective isolation, practice good handwashing technique