The nursing staff on a medical unit includes a registered nurse (RN), practical nurse (PN), and an unlicensed assistive personnel (UAP). Which task should the charge nurse assign to the RN?
Administer PRN oral analgesics to a client with a history of chronic pain.
Transport a client who is receiving IV fluids to the radiology department.
Supervise a newly hired graduate nurse during an admission assessment.
Complete ongoing focused assessments of a client with wrist restraints.
The Correct Answer is C
A. Administering PRN oral analgesics can be managed by both RNs and PNs, as this task does not require advanced assessment or decision-making.
B. Transporting a client who is receiving IV fluids can be safely done by UAPs with appropriate supervision.
C. The RN is responsible for the supervision of other nursing staff and the orientation of new hires. Evaluating the competency of a graduate nurse during a complex task like an admission assessment cannot be delegated to a PN or UAP. An "admission assessment" is the initial comprehensive evaluation of a client. In most nursing jurisdictions, the initial assessment and the development of the nursing care plan are strictly the responsibility of the RN.
D. While the RN is responsible for the overall care plan of a restrained client, ongoing focused assessments (such as checking circulation, skin integrity, and pulse) for a client in restraints can often be delegated to a PN once the initial assessment and necessity for the restraint have been established by the RN.
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Related Questions
Correct Answer is D
Explanation
A. Assisting with giving sips of water could pose a choking risk if the client's swallowing ability is impaired.
B. Using a straw could increase the risk of aspiration for a client with swallowing difficulties.
C. Obtaining thickening powder might be necessary, but first the nurse must assess the client's ability to swallow safely.
D. Assessing the client's swallowing reflex is the priority to ensure safe swallowing and prevent aspiration.
Correct Answer is A
Explanation
A. Osteoarthritis is primarily caused by the destruction of joint cartilage, which leads to pain, stiffness, and decreased mobility in the affected joints. This degenerative process is the hallmark of the condition.
B. Loss of bone mineral density is associated with osteoporosis, not osteoarthritis. While both conditions can cause joint pain, they have different underlying pathologies.
C. An infectious process in the synovial fluid would indicate septic arthritis, which is an acute and severe condition requiring different management.
D. A systemic inflammatory response is more characteristic of rheumatoid arthritis, an autoimmune condition, rather than osteoarthritis, which is a degenerative joint disease.
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