Julie
A nurse is planning to delegate client care tasks to an assistive personnel. Which of the following tasks should the nurse plan to delegate to the AP?
A. Perform gastrostomy feedings through a clients’ established gastrostomy tube
B. Administer a glycerine suppository to a client who is constipated
C. Provide instructions about client care to a family member over the telephonE
D. Teach a client how to measure his own BP
Perform gastrostomy feedings through a clients’ established gastrostomy tube
Which client should the nurse delegate to the unlicensed assistive personnel (UAP)?
A. A client who needs teaching regarding the use of an incentive spirometer
B. A client who needs to have a urine specimen collected for a clean catch urine
C. A client who needs reinforcement of a dressing covering an abdominal incision
D. A client who needs assessment of a newly identified area of pressure over the right hip
A client who needs to have a urine specimen collected for a clean catch urine
The registered nurse is planning the client assignments for the day. Which is the appropriate client assignment for the UAP?
A. A client receiving a colostomy irrigation
B. A client receiving continuous tube feedings
C. A client who requires stool specimen collections
D. A client who has difficulty swallowing food and fluids
A client who requires stool specimen collections
The nurse manager is planning the client assignments for the shift. Which client should the nurse assign to an unlicensed assistive personnel (UAP)?
A. A client scheduled for a cardiac catheterization
B. A client on a 24-hour urine collection who is on strict bed rest
C. A 1-day postoperative client who had a below-the-knee amputation
D. A client scheduled to be discharged after coronary artery bypass surgery
A client on a 24-hour urine collection who is on strict bed rest
A registered nurse is delegating activities to the nursing staff. Which activities can be safely assigned to the unlicensed assistive personnel (UAP)? Select all that apply.
A. Collecting a urine specimen from a client
B. Obtaining frequent oral temperatures on a client
C. Assessing a client who returned from the recovery room 6 hours ago.
D. Assisting a post-catheterization client who needs to lie flat to eat lunch
E. Accompanying a client being discharged to meet his spouse at the hospital exit door
A. Collecting a urine specimen from a client
B. Obtaining frequent oral temperatures on a client
E. Accompanying a client being discharged to meet his spouse at the hospital exit door
The registered nurse (RN) planning the assignments for the day is leading a team composed of a licensed practical nurse (LPN) and an unlicensed assistive personnel (UAP). Based on licensure, which client is most appropriate to assign to the LPN?
A. A client diagnosed with dementia
B. A 1-day postoperative mastectomy client.
C. A client who requires some assistance with bathing
D. A client who requires some assistance with ambulation
A 1-day postoperative mastectomy client
The registered nurse (RN) is planning the client assignments for the day. Which assignment is the most appropriate assignment for the unlicensed assistive personnel (UAP)?
A client requiring wound irrigation
B. A client requiring frequent ambulation
C. A client receiving continuous tube feedings
D. A client requiring frequent vital signs after a cardiac catheterization
A client requiring frequent ambulation
The nurse is planning client assignments for the day and needs to assign 4 clients. There is a registered nurse, a licensed practical nurse, and 2 unlicensed assistive personnel on the nursing team. Which client should the nurse most appropriately assign to the registered nurse?
A. A client requiring a bed bath
B. A client who requires frequent ambulation
C. A client with a right above-the-knee amputation who requires a dressing change
D. A client who was admitted to the hospital during the night after experiencing an acute asthma attack
A client who was admitted to the hospital during the night after experiencing an acute asthma attack
A charge nurse observes an unlicensed assistive personnel (UAP) talking in an unusually loud voice to a client with with schizophrenia experiencing delirium. Which priority action should the charge nurse take?
A. Enter the room and inform the client that everything is alright.
B. Speak to the UAP immediately while in the client's room to solve the problem.
C. Ensure the client's safety, calmly ask the UAP to step outside the room, and inform the UAP that her or his voice was unusually loud.
D. Explain to the UAP that speaking so loudly is tolerated only if the client is talking loudly and the UAP needs to get the client's attention.
Ensure the client's safety, calmly ask the UAP to step outside the room, and inform the UAP that her or his voice was unusually loud.
The nurse is preparing the client assignments for the day to a licensed practical nurse (LPN) and an unlicensed assistive personnel (UAP). Which clients should the nurse assign to the LPN because of client needs that cannot be met by UAP? Select all that apply.
A. A client requiring frequent suctioning
B. A client requiring a dressing change to the foot
C. A client requiring range of motion exercises twice daily
D. A client requiring reinforcement of teaching about a diabetic diet
E. A client on bed rest requiring vital sign measurement every 4 hours
F. A client requiring collection of a urine specimen for urinalysis testing
A. A client requiring frequent suctioning
B. A client requiring a dressing change to the foot
D. A client requiring reinforcement of teaching about a diabetic diet
The medication nurse is supervising a newly hired licensed practical nurse (LPN) during the administration of prescribed oral pyridostigmine bromide to a client with a diagnosis of myasthenia gravis. Which observation by the medication nurse indicates safe practice by the LPN?
A. Asking the client to take sips of water.
B. Asking the client to lie down on his right side
C. Asking the client to look up at the ceiling for 30 seconds
D. Instructing the client to void before taking the medication
Asking the client to take sips of water
The registered nurse (RN) employed in a long-term care facility is planning assignments for the clients on a nursing unit. The RN needs to assign four clients and has a licensed practical nurse (LPN) and an unlicensed assistive personnel (UAP) on a nursing team. Which client should the nurse appropriately assign to the LPN?
A. A client who requires frequent oral temperatures taken
B. A client requiring a bed bath and frequent ambulation with a walker
C. A client with a right leg amputation who requires assistance with a shower
D. A client with a pressure ulcer that requires a wound irrigation and dressing change
A client with a pressure ulcer that requires a wound irrigation and dressing change
FREEBIE!
A for effort! :)
The nurse is planning care for a client with a diagnosis of acute glomerulonephritis. Which action should the nurse instruct the unlicensed assistive personnel (UAP) to implement in the care of the client?
A. Ambulate the client frequently
B. Encourage a diet that is high in protein
C. Monitor the temperature every two hours
D. Remove the water pitcher from the bedside
Remove the water pitcher from the bedside
Based on client need, which tasks should the registered nurse (RN) delegate to unlicensed assistive personnel (UAP)? Select all that apply.
A. Monitoring for effects of pain medication
B. Providing diet instructions for a client with heart disease
C. Decreasing oxygen after measuring a normal pulse oximetry
D. Transporting a client via wheelchair to the x-ray department
E. Communicating and documenting activities of daily living (ADL)
F. Giving discharge instructions for a client who received 7 stitches for a laceration
D. Transporting a client via wheelchair to the x-ray department
E. Communicating and documenting activities of daily living (ADL)
Which client should the nurse safely assign to the unlicensed assistive personnel (UAP)?
A. A client requiring dressing changes
B. A client requiring frequent ambulation.
C. A client on a bowel management program requiring rectal suppositories
D. A client newly admitted with nausea, vomiting, and moderate neck pain
A client requiring frequent ambulation
The registered nurse (RN) is observing a newly licensed practical nurse (LPN) administer a deep intramuscular injection in the dorsogluteal site of a client. Which action supports that the LPN is performing the procedure correctly?
A. Administers the injection in the thigh
B. Positions the client in a Sims' position
C. Positions the client in a prone toe-in position
D. Administers the injection 2 inches below the acromial process
Positions the client in a prone toe-in position
The nurse on the endocrinology unit is caring for clients, assisted by an unlicensed assistive personnel (UAP). Which task is most appropriate to delegate to the UAP?
A. Feed the client who is 1 day postoperative transsphenoidal hypophysectomy.
B. Obtain a urine specimen for the client diagnosed with diabetes insipidus.
C. Take the vital signs for the client diagnosed with myxedema coma.
D. Assess the pulse oximeter reading of the client with an Addisonian crisis.
Obtain a urine specimen for the client diagnosed with diabetes insipidus.
A registered nurse (RN) delegates the changing of a client's colostomy bag to a licensed practical nurse (LPN) who has never performed the procedure on a client. Which is the most appropriate action for the RN to implement?
A. Perform the procedure with the LPN
B. Request that the LPN observe another LPN perform the procedure.
C. Ask the LPN to review the materials from the in-service before performing the procedure.
D. Instruct the LPN to review the procedure in the hospital manual and use the written procedure as a reference.
Perform the procedure with the LPN
The nurse is assigned to care for a client who has undergone a modified radical right mastectomy for breast cancer. When delegating care, which statements by the nursing assistant would require further teaching by the nurse? (Select all that apply.)
A. “I will irrigate the drainage tube after I empty it.”
B. “If the client says she is in pain, I will tell you right away.”
C. “It is important for me to take blood pressure on the client's right arm.”
D. “When helping the client walk, I’ll remind her to stand straight.”
E. “I’ll let you know if her surgical dressing is intact and dry.”
A. “I will irrigate the drainage tube after I empty it.”
C. “It is important for me to take blood pressure on the client's right arm.”
E. “I’ll let you know if her surgical dressing is intact and dry.”
The nurse is delegating unit nursing tasks for the day. Which tasks should the nurse delegate to the unlicensed assistive personnel (UAP)? Select all that apply
A. Deliver fresh water to clients.
B. Empty urine out of Foley bags.
C. Take temperatures, pulses, respirations, and blood pressures.
D. Count the substance control medications in the opioid medication supply
E. Check the crash cart (cardiopulmonary resuscitation cart) for necessary supplies using a checklist
F. Check all intravenous (IV) solution bags on clients receiving IV therapy for the remaining amounts of solution in the bags
A. Deliver fresh water to clients.
B. Empty urine out of Foley bags.
C. Take temperatures, pulses, respirations, and blood pressures.
The registered nurse (RN) is planning the client assignments for the day. Which clients can be safely assigned to the licensed practical nurse (LPN)? Select all that apply.
A. Uncomplicated vaginal delivery client
B. Uncomplicated cesarean delivery client
C. Postpartum client scheduled for a tubal ligation this afternoon
D. Client with type I diabetes mellitus who delivered 4 hours ago
E. Client with excessive blood loss during a long vaginal delivery
F. Client with preeclampsia who delivered vaginally nearly 3 hours ago
A. Uncomplicated vaginal delivery client
B. Uncomplicated cesarean delivery client
C. Postpartum client scheduled for a tubal ligation this afternoon
The charge nurse is planning the assignment for the day. Which factors should the nurse remain mindful of when planning the assignment? Select all that apply
A. The acuity level of the clients
B. Specific requests from the staff
C. The clustering of the rooms on the unit
D. The number of anticipated client discharges
E. Client needs and workers needs and abilities
A. The acuity level of the clients
E. Client needs and workers needs and abilities
The registered nurse (RN) is preparing a daily care guide for an unlicensed assistive personnel (UAP) assigned to an older client diagnosed with chronic obstructive pulmonary disease (COPD). Which tasks are appropriate for the nurse to delegate? Select all that apply.
A. Encouraging fluids
B. Changing oxygen tanks
C. Measuring pulse oximetry
D. Adjusting oxygen flow rates
E. Changing oxygen delivery from mask to cannula
F. Encouraging coughing and deep breathing every 2 hours
A. Encouraging fluids
B. Changing oxygen tanks
C. Measuring pulse oximetry
The nurse is planning the client assignments for the day and has a registered nurse, a licensed practical nurse, and unlicensed assistive personnel on the nursing team. Which clients can be safely assigned to the licensed practical nurse? Select all that apply
A. A client scheduled for an ultrasound of the heart
B. A client with an open abdominal wound who requires wound irrigation every three hours
C. A client with a spinal cord injury who requires intermittent urinary catheterization every 4 hours
D. A client newly diagnosed with diabetes mellitus who requires teaching about insulin administration
E. A client with pulmonary edema who was admitted to the hospital 2 hours ago and requires frequent respiratory assessments
F. A client with a central IV who is receiving parenteral nutrition and lipids and has a primary health care provider’s prescriptions to receive 2 units of packed red blood cells
A. A client scheduled for an ultrasound of the heart
B. A client with an open abdominal wound who requires wound irrigation every three hours
C. A client with a spinal cord injury who requires intermittent urinary catheterization every 4 hours