QUESTIONS
1. What are the 5 Rights of delegation?
2. Nurse is delegating ambulation of a client who had knee arthroplasty 5 days ago to a PCT. Which of the following information should the nurse share with the PCT? (select all that apply).
A. The roommate is up independently
B. The client ambulates with his slippers on over his antiembolic stockings
C. The client uses a front wheeled walker when ambulating
D. The client had pain meds 30min ago
E. Client is allergic to codeine
F. Client ate 50% of his breakfast this morning.
3. A nurse manager on a med surgical unit is assigning care responsibilities for the oncoming shift. A client is awaiting transfer back to the unit from the PACU following thoracic surgery. To which staff member should the nurse assign this client?
A. Charge Nurse
B. RN
C. LPN
D. AP
4. A Nurse on a med surg unit has received change of shift report and will care for 4 clients. Which one of the following client’s needs may the nurse assign to AP?
A. Feeding a client admitted 24hrs ago with aspiration pneumonia
B. Reinforcing Teaching w/ a client who is learning to walk w/ a cane
C. Reapplying a condom cath for a client who has urinary incontinence
D. Applying sterile dressing to a pressure ulcer
5. An RN is making assignments for client care to an LVN at the beginning of a shift. Which of the following assignments should the LVN question? (Select all that apply).
A. Assess the client who is 24hrs post op w/ incentive spirometry
B. Collecting a clean catch urine specimen for a client who was admitted on previous shift.
C. Providing oral suctioning for a client who has pneumonia.
D. Replacing the cartridge and tubing on a PCA pump and teaching patient about PCA pump.
6.
| TASK TO BE DELEGATED/ASSIGNED | TO WHOM? (R.N., PCT). |
| Patient is returning from PACU | |
| Remove a peripheral IV | |
| Change a sterile dressing | |
| PCA machine is beeping | |
| Obtain platelets from the blood bank | |
| Rub lotion on a client’s legs | |
| Suction tracheotomy | |
| Heparin/saline flush | |
| Take verbal/telephone orders from physician | |
| Spoon feed a paralyzed client | |
| Assist physician with surgical dressing change | |
| Insert mercury weighted feeding tube | |
| Apply egg crate mattress on a bed. | |
| Patient is requesting oxygen be reapplied | |
| Assist oncology patient with oral care | |
| Document patient education using evaluation codes | |
| Hang a new bag of tube feeding | |
| Insert catheter in a client with urinary retention |
7. You ask a PCT to take and chart vital signs on your patients. The day has been very busy and you have not seen the PCT for most of the shift. As you make rounds near the end of your shift you note that one of your patients has had a very high blood pressure since early morning. Did you do anything wrong in this delegation?
8. The nurse can delegate to a PCT, the patient who needs
A. a rectal suppository this morning
B. teaching about his diabetic diet
C. a daily dressing change to the feet
D. assistance with ambulation every four hours
9. You asked a PCT Tim to remove Mr. Lane’s peripheral IV prior to discharge. Tim is competent to do this task. Half an hour later Mr. Lane’s doctor appears at the nurse’s station. He is furious that somehow Mr. Lane’s PICC line has been removed rather than the peripheral IV. Who is responsible?
10. Which of these patients should the nurse see immediately following morning report? Which one of these patients can be delegated to a PCT?
A. Patient wants to go and have a bowel movement
B. Patient going for a bronchoscopy in an hour
C. Patient with a sickle cell crisis who has an infiltrated IV
D. Patient receiving a blood transfusion for the last hour.
ANSWERS
Answers only available upon purchase.
To access all answers (100% correct), use the purchase button below.