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.
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).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["725"]
Explanation
Intake = IV fluid + antibiotic
From 0700-0900 (2 hours), the patient received 100 mL/hr of IV fluid: 100 mL/hr x 2 hours = 200 mL
From 1000-1030 (0.5 hours), the patient received Kefzol 1 g in 25 mL of D5W over 30 minutes:
25 mL
From 1030-1530 (5 hours), the patient received 100 mL/hr of IV fluid: 100 mL/hr x 5 hours = 500 mL
Total intake from 0700-1530 = 200 mL + 25 mL + 500 mL = 725 mL. Therefore, the patient's intake from 0700 to 1530 was 725 mL.
Correct Answer is D
Explanation
Upon discovering that the client's abdominal wound has been eviscerated, the nurse should immediately cover the wound area with sterile gauze moistened with sterile 0.9% normal saline. This will help to protect the exposed organs and prevent them from becoming dry or exposed to contaminants. Pouring hydrogen peroxide into the abdominal cavity can cause further damage to the exposed organs and is not recommended. Similarly, normal saline should be gently poured on the area to moisten it, but organs should not be placed back into the cavity as this can cause further injury. Attempting to close the wound area with reinforced adhesive skin closures is also not appropriate as the wound needs to be assessed and repaired by a healthcare provider. The nurse should call the healthcare provider and provide ongoing assessment and support to the client while waiting for further interventions.
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