Which of the following scenarios would represent proper delegation as applies to delegating care to the right professional?

Letting the certified nursing assistant change a sterile wound dressing.

Having the LPN complete the initial admission assessment.

Allowing certified nursing assistant to place an IV.

Asking LPN to pass morning PO blood pressure med to client.

Answer and Explanation

The Correct Answer is D

A. Letting the certified nursing assistant change a sterile wound dressing – Changing a sterile wound dressing is not within the scope of practice for a Certified Nursing Assistant (CNA).

B. Having the LPN complete the initial admission assessment – Initial assessments are typically within the RN's scope of practice. LPNs can assist with ongoing assessments, but the RN should handle the first comprehensive admission assessment.

C. Allowing certified nursing assistant to place an IV – CNAs are not trained or licensed to place IVs; this task requires at least an LPN or RN, depending on local regulations.

D. Asking LPN to pass morning PO blood pressure med to client.This represents proper delegation because passing oral medications, including blood pressure medications, is within the scope of practice for a Licensed Practical Nurse (LPN).

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Correct Answer is ["0.2"]

Explanation

Each mL contains 5,000,000 units. Therefore, to administer 1,000,000 units, we need:

1,000,000 units / 5,000,000 units/mL = 0.2 mL

So, the nurse will give 0.2 mL of reconstituted penicillin G to the client.

A. Ask the client which language they would like the written materials. B. Ensure the client has access to all corrective eyewear. C. Speak in a loud voice directly at the patient. D. Place client close to the nurse's station. E. None F. None

Correct Answer is B

Explanation

A. Ask the client which language they would like the written materials.While providing written materials in the client’s preferred language is important for communication, this does not directly address the client's vision loss. It may help with understanding but does not enhance their ability to see the materials.

B. Ensure the client has access to all corrective eyewear.This is the most appropriate intervention. Ensuring that the client has access to corrective eyewear, such as glasses or contact lenses, will help maximize their remaining vision. This is a practical and supportive action for someone with moderate vision loss.

C. Speak in a loud voice directly at the patient.Vision loss does not imply hearing impairment, so speaking in a loud voice is unnecessary and could be confusing or frustrating for the client. Communication should be clear and normal in volume, not assuming a hearing deficit.

D. Place the client close to the nurse's station.Placing the client close to the nurse’s station may enhance safety and allow for quicker assistance. However, it is not specifically related to addressing the client's vision loss and may not be necessary depending on their overall condition.

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Which of the following scenarios would represent proper delegation as applies to delegating care to the right professional?

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Naxlex Comprehensive Predictor Exams

The physician orders penicillin G 1,000,000 units IM. The label on the vial of powdered penicillin G reads to reconstitute with 1.6 mL of sterile water to achieve a concentration of 5,000,000 units/mL. How many mL will the nurse give to the client for the ordered dose?

Correct Answer is ["0.2"]

Explanation

The nurse is caring for a client with moderate vision loss. Which intervention would be most appropriate for this client?

Correct Answer is B

Explanation

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The physician orders penicillin G 1,000,000 units IM. The label on the vial of powdered penicillin G reads to reconstitute with 1.6 mL of sterile water to achieve a concentration of 5,000,000 units/mL. How many mL will the nurse give to the client for the ordered dose?

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