Which client is most appropriate to delegate to unlicensed assistive personnel?
4. A client with emphysema who is receiving oxygen at 2 L/minute by nasal cannula and becomes dyspneic on exertion Show
4. A client with emphysema who is receiving oxygen at 2 L/minute by nasal cannula and becomes dyspneic on exertion The nurse educator presents an in-service training session on case management to nurses on the clinical unit. During the presentation the nurse educator clarifies that what is a characteristic of case management? 2. Promotes appropriate use of hospital personnel The nurse attends an educational conference on leadership styles. A colleague at the conference who is employed at a large trauma center states that the leadership style at the trauma center is task oriented and directive. The nurse recognizes that what type of leadership style is used at the trauma center? Laptop computers have been purchased by a community hospital to be used in the nursing units for documentation. The nurse educator at the hospital plans in-service educational sessions regarding the use of the computers and the new documentation system. The nurse educator anticipates some resistance to the use of the computers and should plan to best deal with this difficulty by doing what? 4. Allowing the nurses extra time to work with the new computer system The registered nurse (RN) is planning client assignments and cannot take a client assignment today. Two unlicensed assistive personnel (UAP) and a licensed practical nurse (LPN) also are assigned to the unit. Which client should the RN most appropriately assign to the LPN? 2. A client scheduled for a cardiac catheterization As a home health case manager, the nurse functions as a coordinator of client care. The nurse understands that in this role he or she will perform which function? 1. Organize, manage, and balance health care services needed for the client. The registered nurse (RN) has provided instructions to a licensed practical nurse (LPN) regarding administering enemas to a client scheduled for a barium enema. The RN has instructed the LPN to administer enemas until they are clear. The LPN tells the RN that three enemas were administered and that the returns are still not clear. What should the RN instruct the LPN to do? 2. Stop administering the enemas. A client with diabetes mellitus is admitted to the hospital for cataract surgery. Which task can be delegated to the unlicensed assistive personnel (UAP)? 1. Assist the client in ambulating in the hallway. A registered nurse (RN) is observing a licensed practical nurse (LPN) preparing a client for treatment with a continuous passive motion (CPM) machine. Which observation by the RN would indicate that the LPN is performing an incorrect action? 3. The LPN places the client's knee in a slightly externally rotated position. The nurse is planning the client assignments for the shift. Which client should the nurse assign to the unlicensed assistive personnel? 2. A client requiring frequent ambulation A registered nurse is delegating activities to the nursing staff. Which activity is least appropriate for the unlicensed assistive personnel (UAP)? 4. Assisting a postcardiac catheterization client who needs to lie flat to eat lunch The registered nurse (RN) directs the licensed practical nurse (LPN) to assist with the care of a client who has a sacral ulcer. Which is the most appropriate activity for the RN to delegate to the LPN? 1. Place the client in a side-lying position. The nurse has recently been assigned to manage a pulmonary progressive unit at a large urban hospital. The nurse's leadership style is participative, with the belief that all staff members assist in decision making and the development of the unit's goals. Which leadership style is the nurse implementing? The registered nurse is planning client assignments for the day. Which is the most appropriate assignment for the unlicensed assistive personnel (UAP)? 4. A client on bed rest who requires range-of-motion (ROM) exercises every 4 hours The nurse is preparing the client assignment. Which should be assigned to a licensed practical nurse (LPN)? 3. Administration of a new oral medication to a client with Alzheimer's disease The nurse is rearranging the client assignments after several discharges and admissions occurred. Which tasks can be assigned to the unlicensed assistive personnel (UAP)? Select all that apply.
The registered nurse (RN) is planning her client assignments for the day. She has a licensed practical nurse and an unlicensed assistive personnel (UAP) on her team. Which task would the RN delegate to the UAP? 1. Empty a client's urinary catheter bag. The nurse is delegating the morning hygienic care of a man to the unlicensed assistive personnel (UAP). In reviewing the assigned tasks, the nurse should instruct the UAP to use an electric razor for which client? 3. The client with thrombocytopenia related to chemotherapy The nurse is planning the client assignments for the day. Which clients can be safely assigned to the unlicensed assistive personnel (UAP)? Select all that apply.
The nurse is planning the client assignments for the day. Which clients can be safely assigned to the unlicensed assistive personnel (UAP)? Select all that apply.
The nurse is responsible for the care of a client who has begun to experience hallucinations more frequently. Which activity in the care of the client can be appropriately delegated to an unlicensed assistive personnel (UAP)? 3. Providing distraction for the client by engaging him or her in a board game The nurse is planning the client assignments for the day. Which clients can be safely assigned to the unlicensed assistive personnel (UAP)? Select all that apply.
The nurse is planning client assignments for the day. Which clients can be safely assigned to unlicensed assistive personnel (UAP)? Select all that apply.
The nurse would instruct the unlicensed assistive personnel (UAP) to use an electric razor for which client? 3. The client taking warfarin (Coumadin) The nurse is developing a client care assignment for a group of unlicensed assistive personnel (UAP). What is the nurse's first step in planning and assigning clients? 1. Determine what skills can be delegated. The newly appointed vice president for nursing operations has announced that the authority for decision making will be decentralized and distributed throughout the organization. The nurse managers anticipate that the channel of communication and authority will be characterized by which organizational chart? The graduate nurse is interviewed by the manager of a unit and is told that the manager's leadership style is one of letting the staff nurses make the decisions about the unit's operations. When the interviewee meets with the day nursing staff, the graduate nurse hears examples of unit issues indicating that the manager's approach is laissez-faire. Which question should the graduate nurse ask to confirm her suspicions? 3. "Does the manager assume a passive, nondirective approach?" A nurse manager meets with the staff nurses and announces that management has developed a new policy and procedure that is significantly different from old practices. Which statement by the nurse manager should reflect the manager's use of legitimate power? Which type of patient care can the nurse delegate to unlicensed assistive personnel?In general, simple, routine tasks such as making unoccupied beds, supervising patient ambulation, assisting with hygiene, and feeding meals can be delegated. But if the patient is morbidly obese, recovering from surgery, or frail, work closely with the UAP or perform the care yourself.
Which client can be delegated by the nurse to an unlicensed assistive personnel UAP )?Which care task for client should a nurse assign to an unlicensed assistive personnel (UAP)? The person to whom the activity is delegated must be capable of performing it. The UAP is capable of assisting clients with basic or routine needs and tasks with predictable outcomes.
Which task may be safely delegated to unlicensed assistive personnel UAP )?Documenting intake/output, assisting with activities of daily living, and performing other routine client care tasks can be safely delegated to the UAP.
Which care setting are more suitable for unlicensed assistive personnel?UAP are trained to aid nurses in patient care situations. They work under nursing professionals, who delegate and supervise this level of aid. UAP typically works in assisted living facilities, nursing homes, schools, and rehabilitation facilities.
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