Which tasks should you delegate to the licensed practical nurse (LPN)/licensed vocational nurse (LVN) working with you to provide care for this patient? (Select all that apply.)
A. Checking vital signs every 4 hours
B. Weighing the patient every day after dialysate drain
C. Administering oral analgesics as needed
D. Measuring the abdominal circumference every shift
E. Creating a nursing care plan for the patient
F. Recording the shift physical assessment
Question 2Which member of the health care team (RN, LPN/LVN, dietitian, UAP) should perform the tasks related to the care of the patient with chronic pancreatitis? (More than one member may perform some tasks.)
A. Weigh daily at the same time of day, and record the findings.
B. Administer pancreatic enzymes with meals as ordered.
C. Evaluate the effectiveness of the pancreatic enzyme therapy.
D. Teach about long-term dietary management.
E. Assist to eat a food tray with high-carbohydrate and low-fat foods.
F. Observe for respiratory complications such as dyspnea or orthopnea.
G. Assess for previous use of nonpharmacologic pain relief strategies.
H. Assess daily for pancreatic ascites and measure abdominal girth.
Question 3Which task related to diagnostic testing of chronic pancreatitis can be delegated to the unlicensed assistive personnel (UAP)?
A. Ensuring the patient's NPO status before endoscopic retrograde cholangiopancreatography
B. Transporting the patient's blood sample to the laboratory for a Helicobacter pylori antibody test
C. Saving the patient's stool specimen from the bedpan or commode and observe for steatorrhea
D. Assisting the patient to remove metallic objects in preparation for magnetic resonance imaging
Question 4A patient with a presumptive diagnosis of chronic pancreatitis should also be assessed and questioned about which set of symptoms?
A. Polyphagia, polydipsia, and polyuria
B. Palpitations, dizziness, and cool extremities
C. Eructation, flatulence, and bloating
D. Nocturia, proteinuria, and uremic fetor
Question 5You are supervising a nursing student who is giving the patient instructions about how to use the pancreatic enzymes at home. The student tells the patient to mix the enzyme in a soft food like low-fat cottage cheese. What should you do first?
A. Allow the student to finish the patient teaching and then give the student positive feedback.
B. Stop the student and give the patient the correct information.
C. Encourage the student to report to the instructor and review medication instructions.
D. Let the student finish and then take the student aside and review the information.
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