A 73-year-old male patient has been admitted to an inpatient unit from the emergency room. He has been coughing severely for the past two days, has a headache, and a sore throat.
His COVID test is positive and he has Type II Diabetes. He denies any history of smoking.
His vital signs are as follows: Temperature - 101.0, Pulse - 84, Respiration - 24, Blood Pressure - 152/84, Pulse oximetry - 92%. The registered nurse (RN) delegates the collection of a urine specimen and Fasting Blood Sugar (FSBS) from the client to the nurse aide II. What are the responsibilities of the RN in regard to this delegated task?
Select all that apply.
Ensure the nurse aide has the required training to perform these tasks.
Maintain accountability for ensuring the delegated tasks are conducted correctly and completely.
Ensure policies cover the delegation.
Perform an assessment of the patient prior to delegation.
Observe all tasks performed by the nurse aide II.
Correct Answer : A,B,C,D
Choice A rationale
The RN must ensure that the nurse aide has the required training to perform these tasks. This is because the RN is responsible for determining client needs and when to delegate. The RN must also ensure that the delegate is competent to perform the activity.
Choice B rationale
The RN must maintain accountability for ensuring the delegated tasks are conducted correctly and completely. This is because the RN is answerable for their own choices, decisions, and actions as measured against a standard.
Choice C rationale
The RN must ensure policies cover the delegation. This is because the RN must understand the delegation process and the state nurse practice act (NPA) to ensure that it is safely, ethically, and effectively carried out.
Choice D rationale
The RN must perform an assessment of the patient prior to delegation. This is because the RN’s decision of whether or not to delegate is based upon their judgement concerning the condition of the patient.
Choice E rationale
While observing all tasks performed by the nurse aide II is a good practice, it is not a requirement for the RN in regard to this delegated task.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
The Quality and Safety Education for Nurses (QSEN) project provides a roadmap to transform nursing by integrating six competencies: patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics.
Choice B rationale
The Institute of Medicine (IOM) is a non-profit organization that provides unbiased and authoritative advice to decision makers and the public. While the IOM has made significant contributions to health care, it does not specifically develop safety competencies for nurses.
Choice C rationale
The Centers for Disease Control (CDC) is a national public health institute in the United States. It conducts and supports health promotion, prevention and preparedness activities in the United States, with the goal of improving overall public health.
Choice D rationale
The Health Insurance Portability and Accountability Act (HIPAA) is legislation that provides data privacy and security provisions for safeguarding medical information. While HIPAA contributes to the safety and privacy of patient information, it does not develop safety competencies for nurses.
Correct Answer is A
Explanation
Choice A rationale
The HITECH Act established a regulatory framework for EHRs that imposed security and privacy requirements not only on medical providers, but also on other companies and organizations they did business with that might also handle EHR data. This includes ensuring that no protected health information is posted on social media.
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