The charge nurse in an extended care facility is organizing unit activities for the day. Which action may be safely delegated to the practical nurse (PN)?
Evaluate client teaching through return demonstration.
Establish blood pressure parameters for client monitoring.
Evaluate a staff member providing wound care.
Measure the client's body weight each morning.
The Correct Answer is D
Rationale:
A. Evaluate client teaching through return demonstration: Evaluation of client teaching is a higher-level assessment requiring clinical judgment, which is within the RN's scope of practice. Practical nurses can reinforce teaching, but they do not evaluate comprehension independently.
B. Establish blood pressure parameters for client monitoring: Setting parameters for vital sign monitoring involves critical thinking and interpretation of the care plan or medical orders. This is the responsibility of the RN and should not be assigned to a PN.
C. Evaluate a staff member providing wound care: Staff evaluations, including assessing competency in procedures, are leadership responsibilities typically held by RNs or supervisors, not PNs. Delegating this to a PN may compromise quality assurance.
D. Measure the client's body weight each morning: This is a stable and routine task involving the collection of objective data. PNs are competent to perform and document such tasks, especially in long-term care where trends in weight are often monitored.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Go to the emergency department and complete assigned tasks: UAPs should remain on their assigned units unless directed otherwise by leadership. Relocating without orders could compromise continuity and safety in their current area.
B. Shut all doors to client rooms on the unit in case a fire erupts: There is no immediate threat of fire. This may increase client anxiety or hinder necessary observation in a power outage. Fire protocols are separate from internal disaster procedures unless a fire is confirmed.
C. Tell all their assigned clients to stay in their rooms: This maintains order and safety during a chaotic event. It prevents unnecessary movement in darkened or unfamiliar areas and reduces the risk of injury in the absence of full power.
D. Offer to assist in the intensive care unit with clients ventilator-dependent: UAPs are not qualified to assist with critical care clients, especially ventilator-dependent ones. They should remain within their competency and scope of practice.
Correct Answer is ["25"]
Explanation
Calculation:
- Determine the concentration of insulin in the solution.
Total units of insulin = 100 units
Total volume of solution = 500 mL
Concentration = 100 units / 500 mL = 0.2 units/mL.
- Calculate the infusion rate in milliliters per hour (mL/hr) based on the prescribed insulin units/hour.
Desired insulin rate = 15 units/hour
Infusion rate (mL/hr) = Desired insulin rate (units/hr) / Concentration (units/mL)
= 15 units/hour / 0.2 units/mL
= 75 mL/hour.
- Convert the infusion rate from milliliters per hour (mL/hr) to milliliters per minute (mL/min).
Infusion rate in mL/min = 75 mL/hr / 60 min/hr
= 1.25 mL/min.
- Calculate the flow rate in drops per minute (gtt/min).
Drop factor = 20 gtt/mL.
Flow rate (gtt/min) = Infusion rate (mL/min) × Drop factor (gtt/mL)
= 1.25 mL/min × 20 gtt/mL
= 25 gtt/min.
Answer: 25
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