Health Assessment (NSG 3160)

The nurse is caring for a group of clients with an experienced licensed practical vocational nurse. It requires follow-up if the nurse delegates which of the following clients tasks to the LPN. a. Perform intermittent urinary catheterization for residual urine for the client who have had abdominal urethrotomy two days ago. b. Complete a foot soak for the client who has an infected heel ulcer and an ease-on-contact precaution for varicose myosin-resistant enterococci or VRE. c. Discharge a client who have had right mastectomy four days ago and need instruction regarding incision care and wound drain. d. Assist the client who had had a vaginal erystectomy six hours ago to sit up at the edge of the bed a few minutes then ambulate.

The charge nurse is making a client assignment for the day. Which of the following client is appropriate to assign to the licensed practical vocational nurse? a. The client who is diagnosed with insulin-dependent diabetes mellitus and will need dressing change on several ulcers on the lower extremity b. The client who has terminal cancer and will need discharge paper completed for transfer to hospice c. The client who has a fractured right femur and he is scheduled to go to the surgery in one hour d. The client who is receiving scheduled as needed PRN pain medication intravenously due to fractured pelvis.

The nurse has been reassigned to a unit on which they do not normally work. Which of the following actions should the nurse take before receiving the hands-off report? A, proceed with receiving the hands-off report. B, report the reassignment to the risk management department. C, determine which client the nurse will be assigned. D, review abnormal laborator

"The nurse needs to delegate tasks to the licensed practical/vocational nurse (LPN/LVN). Which of the following is an appropriate task to delegate?" The options provided are: A. Discharging a client who is going to outpatient therapy. B. Assessing a client who is returning from surgery. C. Teaching a client about diabetes management. D. Caring for a client who received a blood transfusion 24 hours ago.

The nurse and the unlicensed assistive personnel (UAP) are caring for a client who had a myocardial infarction (MI) 3 days ago. Which of the following tasks is inappropriate to delegate to the UAP?" The options provided are: A. Teaching the client energy conservation techniques to decrease myocardial oxygen demand. B. Explaining the rationale for alternating rest periods with exercise to the client and family. C. Ambulating the client if a chest discomfort occurs during client activities. D. Monitoring vital signs and oxygen saturation before and after client ambulation.

The nurse is finishing end-of-shift documentation and notes that the intravenous (IV) therapy nurse did not chart the restarting of an IV on an assigned client. Which of the following actions should the nurse take?" The options provided are: A. Document that the IV was started and include the name of the IV therapy nurse. B. Finish the end-of-shift documentation and notify the IV therapy nurse of the needed documentation. C. Remove the existing IV and restart a new IV so it can be appropriately documented by the nurse. D. Leave a space in the nursing notes for the IV therapy nurse to document the IV start.