1. A nurse is delegating tasks to the unlicensed assistive personnel
[UAP]. Which of the following tasks should the nurse delegate to the UAP?
Bathing
Checking NG tube patency Feeding
a client with dysphagia Collecting specimens Suctioning
Ambulating
2. What questions should the nurse ask when effectively managing care
according to client needs and priorities?
3. What are the steps of disciplinary action for the first infraction when an employee exhibits unacceptable behaviors?
4. List three [3] skills or tasks that can be delegated to practical nurse [PN].
·
5. A client has been referred to hospice for end of life care. What would the nurse
include when teaching the client and their family about hospice care?
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Related Questions
The nurse works on a unit caring for chronic pain management patients. A UAP [unlicensed assistive personnel] is pulled from another unit to help out the busy floor. An hour into the shift, the UAP asks the nurse “What is with the patient in room five? He says he’s in pain, but he’s watching TV!” Which of the following is the nurse’s BEST response?
“Tell me what you know about chronic pain management.”
This respnonse assesses what the nurse’s aide knows before teaching. On NCLEX, we never assume that a patient’s perception of pain is false.
A 55-year-old male patient arrives at the ER with anterior epistaxis that has not resolved after an hour of applying pressure. Which of the following instructions, if given to the UAP by the nurse, would be considered CORRECT?
“Please have the patient lean forward while sitting upright.”
An anterior epistaxis is a nosebleed! Have the patient lean forward to prevent blood from entering the stomach, apply direct lateral pressure, avoid blowing their nose, and use ice or cold packs, not warm.
The nurse cares for children at a daycare. On a hot summer day, four children return from recess with various complaints. Which of the following children should the nurse see FIRST?
A child diagnosed with leukemia was stung by a bee and is complaining of feeling hot and itchy all over.
This patient is beginning to experience anaphylactic shock and needs emergency treatment. The others also need treatment, but are more potential problems than immediate ones.
The nurse cares for a patient on an acute cardiac unit. The nurse writes her note for the next shift. It is vital to communicate which of the following information to the next shift?
Any respiratory difficulty the patient encountered, activity tolerance, EKG interpretation results, and any instability in vital signs during the shift.
All the information listed above is important, but the correct answer is the only answer that includes reports of the patient’s overall tolerance to care and cardiac results.
The nurse has just received report on four patients in her assignment. Which of the following patients should the nurse see FIRST?
A patient four days post-appendectomy who complains of sudden warmth and pain at the incision site.
Sudden warmth and pain at an incision site past the 48 hour post op period may indicate infection.
The LPN [licensed practical nurse] observes nursing care administered by a UAP [unlicensed assistive personnel]. Which of the following actions, if noted by the LPN, would require further teaching?
The UAP places the eye shield of a patient with Bell’s palsy on the bedside table and turns out the lights so that the patient can nap.
The eye shield of a Bell’s palsy patient must be worn in sleep to protect the eye against damage. Remember, a Bell’s palsy patient has a side of the face with no sensation- it could be dangerous for them to roll over in their sleep onto this side.
The charge nurse is supervising the nursing care administered on a busy medical/surgical unit. Which of the following situations, if noticed, would require immediate intervention?
A UAP [unlicensed assistive personnel] changes the linens on the bed while the patient with Meniere’s disease ambulates to the bathroom.
The UAP should walk hand in hand with the patient with Meniere’s disease. The main characteristic of the disorder is attacks of dizziness that could cause a fall and injury. It is safest to ambulate with them.
The RN [registered nurse] supervises nursing care administered at a nursing home. A patient is ordered by the doctor to receive a tonometry exam. The RN calls to schedule the appointment with the ophthalmologist’s office and receives four different appointment times. Which of the following times would be BEST for this patient’s exam?
9:00am.
The earliest time is best because eye pressure [which tonometry measures] is highest in the morning. A later time may give a false negative reading.
The charge nurse implements a change in the nursing assistant’s job description. The change increases the nursing assistant’s responsibilities. A nurse with 20 years of service on the unit verbally agrees to the change, but her behaviors indicate otherwise. Which of the following actions by the charge nurse is MOST appropriate?
Enable an open discussion during a prescheduled meeting.
Do not directly confront the nurse or ask anyone to accommodate her. Instead, use a meeting to bring up the issue and allow her peers to speak positively about the change. Peer pressure can be an effective tool.
The nurse changes a dressing on a client with an abdominal wound with a Penrose drain in place. What priority information should the nurse chart about this procedure?
The time the dressing was changed, a general description of the wound, and the amount of drainage overall.
This includes the best overall picture of drainage and how the wound appears. Time is a factor that allows the next nurse to assess correctly.
The nursing team on the medical/surgical unit consists of an RN, two LPNs, and a nursing assistant. Which of the following clients should be assigned to the nursing assistant?
A client two days post op a vaginal hysterectomy who needs to use the bathroom.
A client who has been diagnosed with a seizure disorder needs teaching and assessment by the RN, and the RN should also answer follow-up questions. The LPN can care for the electrolyte imbalance patient who is recovering. The nursing assistant helps with ADLs and therefore can assist the patient to the bathroom.
A nurse working with a cardiac patient notes the use of an ethical principle during her care of the patient. Which of these is the best example of a an ethical principle in nursing?
Nonmaleficence, as the nurse did not cause harm to the patient.
Nonmaleficence is the principle in which the healthcare worker/nurse does no harm to the patient.
The nursing team includes two RNs, one LPN, a nursing assistant, and a nurse reassigned from the postpartum unit. The nurse should consider the assignments appropriate if the reassigned nurse cares for which of the following patients?
A client diagnosed with a myocardial infarction complaining of burning on urination.
The reassigned nurse can care for the patient with the UTI. Remember, reassigned nurses need stable patients.
The nurse supervises a UAP [unlicensed assistive personnel] assist a legally blind patient with their meal at dinner time. What action, if performed by the UAP, is correct?
The UAP tells the patient where each food item is located on the plate by referring to the image of a clock face.
Use a clock-face image for legally blind patients to tell them where things are on a plate or in the room.