A nurse is teaching a class about the interlocking principles of shared governance. Which of the following principles should the nurse include?

(Select All that Apply.)

Finance

Navigation

Caring

Knowing

Leading

Answer and Explanation

Correct Answer : C,D,E

A.   This is not one of the core principles of shared governance. While financial considerations are important in healthcare, they are not a foundational element of shared governance.
B.   Navigation refers to the ability to guide or steer through complex systems, such as healthcare processes, policies, or organizational structures. In the context of shared governance, navigating through the decision-making process is essential.
C.   This principle emphasizes the importance of compassionate and patient-centered care. It underscores the nursing profession's core value of caring for patients.
D.   This principle refers to the nurses' knowledge and expertise. It highlights the importance of professional development and the use of evidence-based practice.
E.   This principle emphasizes the nurse's role as a leader and follower within the healthcare team. It involves empowerment, autonomy, accountability, and collaboration.

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Correct Answer is D

Explanation

A. Teaching a client how to use an incentive spirometer involves providing detailed instruction and education about the device and its use. This task requires clinical knowledge and the ability to assess and address the client’s understanding, which is beyond the scope of an AP.
B. Irrigating and performing a dressing change on a pressure injury wound is a clinical task that requires specific training and skill, including knowledge of wound care, infection control, and assessment of wound healing. This is typically performed by an RN or another licensed healthcare professional. This task involves clinical judgment and assessment, which are beyond the training of an AP.
C. Administering medication, including PRN (as needed) pain medication, involves assessing the client’s condition, verifying the medication order, and monitoring for effects and side effects. This task requires a licensed nurse who can perform these assessments and make clinical decisions.
D. Obtaining a daily weight is a task that is within the scope of practice for an AP. Weighing a client does not require clinical judgment or complex decision-making and is typically considered a routine task that can be safely delegated to an AP. This task involves measuring and recording the client’s weight, which is an objective and straightforward task.

A. The client urine output has been 50 mL since surgery. B. The client's pain level has decreased since the administration of morphine. C. Serosanguineous drainage noted on the abdominal dressing. D. Postoperative laboratory results are Hgb 15% and Hct 40%.

Correct Answer is A

Explanation

A. A urine output of less than 30 mL/hour is considered oliguria and is a critical finding that requires immediate notification to the provider. It could indicate potential complications such as dehydration, hypovolemia, or renal impairment.
B. While pain management is important, a decrease in pain is expected after administering morphine. This is not a critical finding that requires immediate notification to the provider.
C. A small amount of serosanguineous drainage is expected in the early postoperative period. It would only be a concern if the drainage was excessive, bright red, or increasing in amount.
D. Postoperative laboratory results are Hgb 15% and Hct 40% are within normal ranges and do not require immediate notification to the provider.

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A nurse is teaching a class about the interlocking principles of shared governance. Which of the following principles should the nurse include? (Select All that Apply.)

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A nurse is delegating care for a group of four clients. Which of the following tasks should the nurse delegate to an assistive personnel (AP)?

Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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A nurse is teaching a class about the interlocking principles of shared governance. Which of the following principles should the nurse include?

(Select All that Apply.)