× Didn't find what you were looking for? Ask a question
Top Posters
Since Sunday
w
3
w
3
e
3
3
r
3
g
2
2
b
2
M
2
V
2
f
2
c
2
New Topic  
wr7gguy wr7gguy
wrote...
Posts: 501
Rep: 0 0
6 years ago
There is a temporary agency registered nurse assigned to the nursing unit. You have no knowledge of this nurse's skills, and you want to assign the nurse to a patient who has a fresh tracheostomy. How should you handle this situation?
 
  a. Assign the nurse to the patient with the tracheostomy and hope for the best.
  b. Ask the nurse about his or her competency to care for the patient with the tracheos-tomy.
  c. Assign the patient to another nurse and use the temporary agency nurse to do simple care tasks.
  d. Call the agency and ask for a nurse skilled in the care of a patient with a tracheosto-my.



Based on the goal of making optimal use of the level of preparation of the licensed practical nurse (LPN), which task should the nurse (RN) delegate to the LPN?
 
  a. Assisting with a lumbar puncture
  b. Transporting a patient to the radiology department
  c. Restocking the sterile supplies
  d. Distributing afternoon nutrition supple-ments



The nurse has a full assignment. The charge nurse adds a newly admitted patient who will require close monitoring. Which task can the nurse delegate to the CNA who is co-assigned to the same patients?
 
  a. Teaching Mr. Z insulin self-administration
  b. Updating Mrs. W's care plan
  c. Evaluating goal attainment for Mr. Y, who is learning to walk with a below-the-knee prosthesis
  d. Bathing Miss X, an unconscious patient



The nurse has just given a patient a narcotic for pain relief. Because the nurse must leave the unit for lunch and a 1-hour meeting, the task of evaluating the patient's response to the pain medica-tion must be delegated.
 
  To whom should the nurse delegate this responsibility? a. Nursing assistant c. Licensed practical nurse
  b. Student nurse d. Nurse manager
Read 28 times
1 Reply

Related Topics

Replies
wrote...
6 years ago
B
Float and temporary nurses should be asked about their competency at the beginning of a shift or assignment. Never assume that an individual knows something; be sure and ask. Delegation of an activity should always be followed by an anticipated response from that nurse as to whether or not he or she feels capable of performing the task. It is important to determine the competency of the nurse as well as to make sure the nurse indicates he or she is competent to carry out the dele-gated activity. It would be appropriate to check on this nurse frequently to evaluate their delivery of care or to offer assistance. It would be okay to call the agency and verify the nurse's skilled competencies, but talking with the nurse would still be the first action.

- - - - - - - - - - - -

A
Assisting with procedure, such as a lumbar puncture, is within the scope of practice of the LPN. The nurse must select the right task for a competent person in a selected situation. Transporting clients, restocking supplies, and passing nutrition supplement are nursing interventions that can be carried out by a certified nursing assistant (CNA).

- - - - - - - - - - - -

D
Bathing a patient is an appropriate nursing intervention within the role and responsibilities and scope of practice of the CNA. The nurse must determine what needs to be done and then identify whether this is a task that can be delegated to someone else. The role of the nurse involves the coordination and planning of care, with the primary focus on identifying with the patient and the physician the desired outcomes for the patients. Teaching clients, updating nursing care plans, and evaluating patient responses to treatment plans are within the scope of practice of the registered professional nurse.

- - - - - - - - - - - -

D
Evaluating the patient's response to pain medication is an activity within the scope of the regis-tered professional nurse (who in this situation is the nurse manager). Many states are very specific in their description of what cannot be delegated and belongs only to the nurse's scope of practice. The licensed practical nurse can administer the pain medication. The student nurse could assist the professional nurse in the evaluation of the patient's response to the pain medication; however, the nurse leaving the unit cannot delegate this responsibility to a student. This nursing intervention is outside the scope of practice of the nursing assistant.
New Topic      
Explore
Post your homework questions and get free online help from our incredible volunteers
  616 People Browsing
 132 Signed Up Today
Related Images
  
 2102
  
 816
  
 1176
Your Opinion
Do you believe in global warming?
Votes: 488

Previous poll results: How often do you eat-out per week?