A nurse is caring for a client.

Exhibits

For which of the following interprofessional team members should the nurse anticipate a provider's referral?

(Select all that apply).

Case manager

Respiratory therapist

Diabetes nurse educator

Physical therapist

Occupational therapist

Enterostomal therapy nurse

Answer and Explanation

Correct Answer : A,B,D,E

A.   A case manager coordinates and manages the overall care of the client, particularly when there are multiple healthcare needs or transitions in care. Given that the client has just experienced a CVA, the case manager could be crucial in coordinating care, arranging for additional services, and ensuring continuity of care, especially since the client lives alone.
B.   The client is experiencing wheezing in the upper lobes of the lungs and is receiving supplemental oxygen. A respiratory therapist would be instrumental in evaluating and managing the client's respiratory status, including optimizing oxygen therapy and addressing any issues related to asthma or lung function.
C.   There is no mention of diabetes in the client's history or current symptoms. The focus of the client's care is on managing the effects of the CVA and respiratory issues. Therefore, a referral to a diabetes nurse educator is not indicated based on the provided information.
D.   The client has flaccid extremities with decreased muscle tone and strength following the CVA. A physical therapist would be essential for assessing and providing therapy to improve mobility, strength, and function in the affected extremities. This referral is appropriate for addressing the physical impairments resulting from the CVA.
E.   The client is having difficulty with self-feeding due to decreased muscle tone and strength, which impacts daily activities. An occupational therapist can help with adaptive techniques and strategies for self-care tasks, such as feeding, and provide interventions to improve the client’s ability to perform daily activities independently. This referral is appropriate for addressing functional challenges related to the CVA.
F.   An enterostomal therapy nurse specializes in wound care, ostomy management, and incontinence care. There is no indication in the provided information that the client has any issues related to wounds, ostomies, or incontinence. Therefore, a referral to an enterostomal therapy nurse is not indicated based on the current information.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

A. This is an appropriate delegation to an LPN. It involves data collection, which is within the scope of LPN practice. The RN retains responsibility for medication administration and reconciliation.
B. This is inappropriate delegation. A complete assessment requires critical thinking and clinical judgment, which are within the scope of RN practice.
C. While documentation is important, it's usually the responsibility of the RN to ensure accurate and complete charting, especially for initial assessments.
D. Drawing conclusions and developing a plan requires nursing judgment and is the responsibility of the RN.

A. The AP's rapport with clients B. The AP has the knowledge and skill to perform the task C. The AP's ability to complete the task without assistance D. The AP's ability to prioritize

Correct Answer is B

Explanation

A. While having a good rapport with clients is important for effective care, it is not one of the five rights of delegation. Rapport affects client interactions and overall satisfaction but does not directly impact the appropriateness of delegating a specific task.
B. This is a critical consideration under the "Right Person" component of the five rights of delegation. The nurse must ensure that the AP has the appropriate knowledge, skills, and competencies to perform the delegated task safely and effectively. This ensures that the task is performed correctly and reduces the risk of errors.
C. The ability of the AP to complete the task without assistance is related to the "Right Person" and "Right Task" components. However, it is not always necessary for the AP to complete the task independently, as some tasks may require supervision or periodic check-ins.
D. While the AP’s ability to prioritize tasks can be valuable, it is not one of the five rights of delegation. The nurse should provide clear instructions and prioritize tasks as part of effective delegation, but the specific ability of the AP to prioritize independently is not a primary factor in the delegation process.

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A nurse is caring for a client. Exhibits For which of the following interprofessional team members should the nurse anticipate a provider's referral? (Select all that apply).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An RN on a behavioral health unit is assessing a client. The RN plans to delegate part of the nursing process to a licensed practical nurse (LPN). Which of the following statements by the RN indicates appropriate delegation to the LPN?

Correct Answer is A

Explanation

When planning delegation of tasks to assistive personnel (AP), a nurse considers the five rights of delegation. Which of the following should the nurse consider when using one of the five rights of delegation?

Correct Answer is B

Explanation

At the beginning of the shift, an RN is preparing assignments for a licensed practical nurse (LPN) and an assistive personnel (AP). Which of the following tasks should the nurse assign to the LPN?

A charge nurse is making a room assignment for a client who has scabies. In which of the following rooms should the nurse place the client?

A nurse is preparing a presentation about hospice care services. Which of the following statements should the nurse plan to make during the presentation?

A nurse is caring for a client who is 3 hr postoperative following abdominal surgery. Which of the following assessment data should the nurse report to the provider?

A nurse is caring for a client. Exhibits For which of the following interprofessional team members should the nurse anticipate a provider's referral? (Select all that apply).

A charge nurse is anticipating the admission of four clients and planning their room assignments. Which of the following clients should the nurse assign to the room closest to the nurses' station?

A nurse is admitting a client who is in the manic phase of bipolar disorder. The nurse should plan to make which of the following room assignments for the client?

A nurse overhears two assistive personnel (APS) disagreeing about client care assignments. Which of the following actions by the nurse demonstrates conflict resolution?

A nurse is caring for a client.

Exhibits

For which of the following interprofessional team members should the nurse anticipate a provider's referral?

(Select all that apply).