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lolarosa lolarosa
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Posts: 481
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6 years ago
A nurse is discharging a patient who primarily speaks German. Which action(s) should the nurse take to communicate effectively with the patient? (Select all that apply.)
 
  a. Contact interpreter services to interpret discharge instructions to the patient.
  b. Provide discharge instructions for the pa-tient that are written in German.
  c. Ask the patient to repeat the discharge instructions back to the interpreter as he understands them.
  d. Forego the interpreter because you are just showing him how to change a dressing.
  e. Give the patient discharge instructions that are written in English.



A nurse is working on a medical-surgical unit and receives phone call from a physician who would like to give orders for a new patient. What should the nurse do to make the telephone or-der safer for the patient? (Select all that apply.)
 
  a. Refuse to accept the telephone order and request that the physician come to the unit to write the order.
  b. Accept the order and perform a read back..
  c. Write down the telephone order as it is being given.
  d. Accept the telephone order, but write it down later.
  e. Ask another nurse to accept the telephone order.



A nurse is working with a nurse aide to care for a group of patients. Which of the following activities would be inappropriate to delegate to the nurse aide?
 
  a. Providing discharge instructions to a pa-tient
  b. Refilling water containers
  c. Obtaining a lift to help a patient out of a chair
  d. Feeding a patient who is unable to feed himself



The charge nurse is determining which activities to delegate to the nursing assistant. Which of the following would not be appropriate for the charge nurse to delegate to the nursing assistant?
 
  a. Changing soiled linen
  b. Taking a blood pressure on someone re-ceiving blood
  c. Removing a urinary catheter
  d. Assessing a patient's lung sounds
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Replies
wrote...
6 years ago
A, B, C
The nurse should contact interpreter services and request a German-speaking interpreter. The nurse should provide all discharge instructions with the help of the interpreter and ask the patient to repeat back what he has heard. By using a Team STEPPS strategy check back, the nurse can ensure that the patient understands the discharge instructions what he needs to do for himself when he leaves.

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B, C
The nurse should accept the order, write it down and perform a read back. According to the In-stitute for Healthcare Improvement (2005), 50 of all medication errors have been directly at-tributed to the failure to communicate information at the point of transition.

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A
It is the nurse's responsibility to provide discharge instructions to patients and to assess their un-derstanding of them. This task cannot be delegated to the nursing assistant. Refilling water con-tainers, obtaining a lift to help a patient out of a chair, and feeding patients are all tasks that can be delegated to the nursing assistant.

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D
When delegating care, the charge nurse must remember that she cannot delegate nursing judg-ment. Therefore, in this scenario, the nurse cannot delegate the task of assessing lung sounds. This is a task that must be performed by the nurse. Taking blood pressures, removing a urinary catheter, and changing bed linens are all activities that can be delegated.
lolarosa Author
wrote...
6 years ago
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