A nurse in a long-term care facility is reinforcing teaching about safe delegation practices with a newly licensed nurse. Which of the following statements should the nurse include in the teaching?

"Delegate tasks such as vital signs regardless of the client's condition."

"Delegate simple tasks prior to evaluating the client's condition."

"Observe delegated tasks directly during task performance."

"Delegated tasks require follow-up to ensure compliance."

Answer and Explanation

The Correct Answer is D

Explanation:

A. "Delegate tasks such as vital signs regardless of the client's condition."

This statement is incorrect because delegation should be based on the complexity of the task, the client's condition and stability, the competence of the delegatee, and other factors. Vital signs are critical assessments that often require the direct involvement of a licensed nurse, especially when there are changes in the client's condition or if the client is unstable.

B. "Delegate simple tasks prior to evaluating the client's condition."

This statement is incorrect because delegation should not occur based solely on the simplicity of the task. Instead, the nurse should evaluate the client's condition first, assess the complexity of care required, and then delegate tasks accordingly. The client's needs, stability, and safety should guide the delegation process.

C. "Observe delegated tasks directly during task performance."

While direct observation of delegated tasks is important, it may not always be feasible or necessary for every task. Nurses should use their judgment to determine the level of supervision required based on factors such as the complexity of the task, the delegatee's experience and competence, and the client's condition. Direct observation may be necessary for more complex or critical tasks, but for routine and low-risk tasks, periodic checks and effective communication with the delegatee can suffice.

D. "Delegated tasks require follow-up to ensure compliance."

This statement is correct. Follow-up is essential to ensure that delegated tasks were performed correctly, safely, and in accordance with the client's care plan. It allows the nurse to verify task completion, assess the client's response if applicable, address any issues or concerns that arise, and provide feedback and guidance to the delegatee. Follow-up also helps maintain accountability and quality of care.

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Correct Answer is B

Explanation

Explanation:

A. The child was brought to the facility 30 minutes after the injury occurred:

The timing of seeking medical attention alone may not necessarily indicate abuse. However, if there are inconsistencies in the reported mechanism of injury or if there is a delay in seeking medical care without a valid explanation, it can raise suspicion and warrant further investigation.

B. The parents report that the child injured herself by falling off the couch:

While falls are common causes of fractures in toddlers, spiral fractures are more commonly associated with twisting or torsional forces, which can raise concerns about non-accidental trauma. If the reported mechanism of injury does not align with the type of fracture or if there are inconsistencies in the history provided, it may indicate potential abuse.

C. The child begins to cry when her arm is examined by the provider:

It is common for children to cry or show discomfort during a physical examination, especially if they are in pain or feeling anxious. While this finding alone may not indicate abuse, it is essential to assess the child's behavior, pain response, and overall presentation for any additional signs or patterns of abuse.

D. The child's examination shows a single injury:

The presence of a single injury does not necessarily rule out abuse. Abusive injuries can be single or multiple, and the absence of other injuries does not negate the possibility of abuse. It is crucial to consider the context, history, and clinical findings comprehensively when evaluating for abuse.

A. Pharmaceutical sales representatives B. Published journals C. Pharmacists D. internet E. Physicians Desk Reference

Correct Answer is ["B","C","E"]

Explanation

Explanation:

A. Pharmaceutical sales representatives: While pharmaceutical sales representatives may provide promotional materials and product information, their primary goal is to promote specific medications. Their information may be biased and may not always reflect an objective assessment of drug efficacy, safety, or appropriateness.

B. Published journals: Peer-reviewed journals and reputable publications are excellent sources of evidence-based information on medications. They often contain studies, reviews, and updates on drug efficacy, safety, interactions, and guidelines.

C. Pharmacists: Pharmacists are highly trained professionals who specialize in medications. They can provide valuable information regarding drug interactions, dosages, administration, side effects, contraindications, and patient education. Pharmacists are reliable sources for clarifying medication-related inquiries.

D. Internet: While the internet can provide a wealth of information, it is crucial to use reputable and evidence-based websites when searching for medication information. Many websites may contain inaccurate, outdated, or misleading information. Healthcare professionals should use caution and verify information obtained from online sources.

E. Physicians Desk Reference (PDR): The Physicians Desk Reference is a comprehensive reference book that contains detailed information on prescription drugs, including indications, dosages, interactions, adverse effects, and warnings. It is a trusted resource commonly used by healthcare professionals.

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A nurse in a long-term care facility is reinforcing teaching about safe delegation practices with a newly licensed nurse. Which of the following statements should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a community clinic is caring for a 20-month-old toddler who has spiral fractures of the right ulna and radius. Which of the following findings should the nurse recognize as a potential indication of abuse?

Correct Answer is B

Explanation

A nurse is reinforcing teaching with a newly licensed nurse regarding sources of medication information. Which of the following resources should the nurse include as reliable references for the nurse to use to evaluate medication information? (Select all that apply.)(Select All that Apply.)

Correct Answer is ["B","C","E"]

Explanation

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