What can be delegated to Assistive personnel (AP)?
- ADLs - bathing - grooming - dressing - ambulating - feeding
(w/o swallow precautions) - positioning
... [Show More] - bed making - specimen
collection - I&O - VS (stable clients
A nurse on a med surge unit has recieved change of shift report
and will care for 4 clients. Which of the following clients needs will
the nurse assign to an AP?
A. Feeding a client who was admitted 24 hours ago with aspiration
pneumonia
B. Reinforcing teaching with a client who is learning to walk with
a quad cane
C. Reapplying a condom catheter for a client who has urinary
incontinence
D. Applying a sterile dressing to a pressure ulcer
C
A nurse is delegating the ambulation of a client who had knee
arthroplasty 5 days ago to an AP. Which of the following info should
the nurse share with the AP?
Select all:
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 30 minutes ago
E. The client is allergic to codeine
F. the client ate 50 % of his breakfast this morning
B
C
D
An RN is making assignments for client care to an LPN at the
beginning of the shift. Which of the following assignments should
the LPN question?
A. Assisting a client who is 24 hr postop to use an incentive
spirometer
B. Collecting a clean catch urine specimen from a client who was
admitted on the previous shift
C. providing nasopharyngeal suctioning for a client who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump
D
A nurse is preparing an inservice program about delegation.
Which of the following elements should she identify when presenting
the 5 rights of delegation. Select all:
A. Right client
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
E. Right circumstances
B
C
E
A nurse manager of a med surge unit is assigning care responsibilities
for the oncoming shift. A client is waiting transfer back to
the unit from the PACU following thoracic surgery. To which staff
member should the nurse assign the client?
A. Charge nurse
B. RN
C. LVN
D. AP
B
What is the study of conduct and character? Ethics
What are the values and beliefs that guide behavior and decision
making?
Morals
What is the right to make ones own personal decisions, even tho
those decisions might not be in the persons best interest
Autonomy
What are positive actions to help others Beneficience
What is an agreement to keep promises Fidelity
What is fairness in care delivery and use of resources Justice
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What is avoidance of harm or injury Non-maleficence
A nurse is caring for a client who decides not to have surgery
despite significant blockages in his coronary arteries. The nurse
understands that this clients choice is an example of what principles?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmalificience
A
A nurse offers pain meds to a client who is postop prior to ambulation.
The nurse understands that this aspect of care delivery is
an example of which of the following ethical principles?
A. Fidelity
B. Autonomy
C. Justice
D. Beneficience
D
A nurse is instructing a group of nursing students about the
responsibilities involved with organ donation and procurement.
When the nurse explains that all clients waiting for a kidney transplant
have to meet the same qualifications, the students should
understand that this aspect of care delivery is an example of which
ethical principle
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence
C
A nurse questions a med prescription as too extreme and light of
the clients advanced age and unstable status. The nurse understands
that this action is an example of which ethical principle
A. Fidelity
B. Autonomy
C. Justice
D. Nonmalificence
D
Which of the following situations can be identified as an ethical
dilemma?
A. A nurse on a med surge unit demonstrates signs of chemical
impairment
B. A nurse over hears another nurse telling an older adult client
that if he doesnt stay in bed she will restrain him
C. A family has conflicting feelings about the initiation of enteral
tube feedings of their father who is terminally ill
D. A client who is terminally ill hesitates to name her spouse on
her durable power of attorney form [Show Less]