The practical nurse (PN) who is working as the charge nurse at an extended care facility is making assignments for the unlicensed assistive personnel (UAP) working a 12-hour shift. Which resource is most important in guiding the PN's assignments for the UAPS?
The Patient's Bill of Rights that is posted on the nursing unit.
The healthcare agency policy regarding working 12-hour shifts.
The state's Nurse Practice Act regarding delegation to unlicensed personnel.
The client's informed consent allowing unlicensed personnel to provide care.
The Correct Answer is C
A. The Patient's Bill of Rights: Important for patient care standards, but does not specifically define delegation limits.
B. The healthcare agency policy regarding working 12-hour shifts: Addresses scheduling, not the scope of tasks.
C. The state's Nurse Practice Act regarding delegation to unlicensed personnel: This legally defines what tasks can be delegated to UAPs.
D. The client's informed consent allowing unlicensed personnel to provide care: Consent does not override legal delegation limits.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Suction the trachea: Having suction equipment available helps clear the airway if secretions or vomitus occur during or after a seizure.
B. Apply soft restraints: Restraints are not used for seizure precautions; they can cause injury during seizure activity.
C. Insert a urinary catheter: Not a seizure precaution.
D. Insert a nasogastric tube: Not a seizure precaution and may be dangerous during active seizure.
Correct Answer is A
Explanation
A. Obtain a specimen of urethral drainage for culture:
Symptoms suggest possible gonorrhea or chlamydia; culture needed for diagnosis and treatment guidance.
B. Identify all sexual partners in the last four days:
Partner notification is important but follows confirmed diagnosis.
C. Observe the perineal area for a chancroid-like lesion:
Chancroid presents differently; symptoms point to urethritis.
D. Assess for perineal itching, erythema, and excoriation:
These are signs of fungal infection or dermatitis, not primary concern here.
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