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WorksheetsNUR 212 Delegation Debrief
Total questions: 15
Worksheet time: 8mins
The client’s nursing diagnosis is Deficient Fluid Volume r/t excessive fluid loss. Which action related to fluid management should be delegated to a nursing assistant?
Provide straws and offer fluids between meals
Teach family members to assist the client with fluid intake
Develop a plan for added fluid intake over 24 hours
Administer IV fluids as prescribed by the physician
An experienced LPN, under the supervision of the team leader RN, is providing nursing care for a patient with a respiratory problem. Which actions are appropriate to the scope of practice of an experienced LPN? (Select all that apply)
Auscultate breath sounds
Evaluate the client’s technique for using MDI’s
Initiate the nursing care plan
Check oxygen saturation using pulse oximetry
Complete in-depth admission assessment
You are acting as preceptor for a newly graduated RN during the second week of orientation. You would assign the new RN under your supervision to provide nursing care to which patients? (Select all that apply)
A 38-year-old with moderate persistent asthma awaiting discharge
A 63-year-old with tracheostomy needing tracheostomy care every shift
A 49-year-old just admitted with a new diagnosis of esophageal cancer
56-year-old with lung cancer who has just undergone left lower lobectomy
You are the charge nurse for the coronary-care step down unit. Which client is best to assign to a “float” RN who has come for the day from the general medical-surgical unit?
A client requiring discharge teaching about coronary artery stenting before going home today
A client receiving IV furosemide to treat acute left ventricular failure
A client just transferred in from radiology department after a coronary angioplasty
A client just admitted with unstable angina who has orders for a heparin infusion and aspirin
You are working with an experienced nursing assistant and LPN on a telemetry unit. A client who had an MI 3 days ago has the nursing diagnosis of Activity Intolerance r/t fatigue and chest pain. Which nursing activity included in the plan of care is best delegated to the LPN?
Administering nitroglycerin (Nitrostat) if chest discomfort occurs during client activity
Monitoring pulse, blood pressure, and oxygen saturation before and after client ambulation
Teaching the client energy conservation techniques to decrease myocardial oxygen demand
Explaining the rationale for alternating rest periods with exercise to the client and family
In the care of a client with gastroesophageal reflux disease, which task would be appropriate to assign to a nursing assistant?
Explaining the rationale for eating small frequent meals
Reminding the client not to lie down for 2 to 3 hours after eating
Encouraging the client to express concerns about lifestyle modification
Sharing successful strategies for weight reduction
As the charge nurse, you must rearrange room assignments for several clients. Which two clients would be best to put in the same room?
A 35-year-old woman with copious intractable diarrhea and vomiting
A 62-year-old woman with colon cancer receiving chemotherapy and radiation
A 53-year-old woman with pain related to alcohol associated pancreatitis
A 43-year-old woman who underwent cholecystectomy 2 days ago
You are the charge nurse on a medical-surgical unit and are working with a newly graduated RN who has been on orientation to the unit for 3 weeks. Which client is best to assign to the new graduate?
A 34-year-old who was just admitted to the unit with periorbital cellulitis
A 78-year-old who needs teaching before a biopsy to a facial lesion
A 67-year-old who requires a dressing change after hydrotherapy for a pressure ulcer
A 40-year-old who needs discharge instructions after having skin grafts to the thigh
Which client has the most immediate need for IV access to deliver immediate analgesia with rapid titration?
A client with sharp chest pain that increase with cough and shortness of breath
A client who reports excruciating lower back pain with hematuria
A client who is having an acute myocardial infarction with severe chest pain
A client having a severe migraine with an elevated blood pressure
At change of shift the nurse is assigned to care for the following clients, Which client should the nurse assess first?
A 68 year old on the ventilator with for whom a sputum specimen must be obtained
A 57 year old with COPD with a oxygen saturation of 90% reported from the previous shift
A 72 year old with pneumonia who needs to be started on IV antibiotics
A 51 year old with asthma who reports shortness of breath after using a bronchodilator inhaler
Which staff member will the nurse suggest as the best person to make the initial home health visit for a new client with emphysema to be evaluated for at home oxygen?
A LPN with 10 years of home health experience
A respiratory therapist who frequently works with client with oxygen therapy
A RN who works in the maternal child division of the public health agency
A on-call RN who works in home health a few days a month prn
The nurse is evaluating and assessing a client with chronic emphysema. The client is receiving oxygen at 5L/Min via nasal cannula. What concerns should the nurse report immediately?
A large barrel chest
Respiratory rate of 8 breaths/min
Client sitting up and leaning of over the nightstand
Fine bibasilar crackles
A client with lung cancer has received oxycodone 10 mg orally for pain. Which finding would the nurse immediately report?
Respiratory rate of 10 breaths/min
Heart rate of 90 beats/min
Decrease in pain level from 6 to 2 on a 10 point scale
Request by the client to close the door
A client with diabetes has hot, dry skin with rapid and deep respirations; and a fruity odor to the breath. The charge nurse observes the new nurse performing all of the following tasks. Which action requires the charge nurse to intervene immediately?
Checking the client's fingerstick glucose level
Encouraging the client to drink orange juice
Assessing the client's vital signs every 15 minutes
Checking the client's order for sliding scale insulin dosing
The nurse is caring for a client that was just admitted for left anterior chest pain, possible MI. Which action will the nurse take first?
Insert an IV catheter
Auscultate heart sounds
Administer sublingual nitroglycerin
Draw blood for troponin
