Nokea
Nurse Gayle is guided that the initial step of delegation is ______.
- A. demonstrate the task and let the staff continue the next activities
- B. Assess the capability of the staff, change him if not performing
- C. Determine the competency level of staff for the task being given
- D. Explain the task to be done with accompanying job description
Correct Answer: C
Rationale: The initial step of delegation is to determine the competency level of the staff for the task being given. Before delegating a task, a nurse must assess the knowledge, skills, and abilities of the staff member to ensure that they are competent and capable of performing the task safely and effectively. This step is crucial in ensuring that tasks are delegated appropriately and that quality patient care is maintained. By determining the competency level of the staff, Nurse Gayle can make informed decisions about delegation, provide appropriate support and resources, and facilitate effective communication throughout the delegation process.
You may also like to solve these questions
A 28-year-old woman presents with lower abdominal pain, dyspareunia, and dysmenorrhea that worsens during menstruation. On pelvic examination, tender nodules are palpated along the uterosacral ligaments. Which condition is most likely to be responsible for these findings?
- A. Polycystic ovary syndrome (PCOS)
- B. Endometriosis
- C. Pelvic inflammatory disease (PID)
- D. Uterine fibroids
Correct Answer: B
Rationale: The clinical presentation of lower abdominal pain, dyspareunia (pain during sexual intercourse), dysmenorrhea (painful periods), and tender nodules along the uterosacral ligaments is highly suggestive of endometriosis. Endometriosis is a condition where the tissue that lines the uterus (endometrium) grows outside the uterus, commonly on the pelvic organs such as the ovaries, fallopian tubes, and the peritoneum. The characteristic tender nodules along the uterosacral ligaments are known as "nodularity" and are a classic finding in endometriosis.
Which of the following would the nurse expect to see as symptoms in a child with ADHD?
- A. Moody, sullen and pouting behavior
- B. Interrupts others and can't take turns
- C. Excessive running, climbing and. fidgeting
- D. Easily distracted and forgetful
Correct Answer: C
Rationale: Children with ADHD often display hyperactive and impulsive behaviors, such as excessive running, climbing, and fidgeting. These behaviors are characteristic symptoms of the hyperactive-impulsive subtype of ADHD. Children with ADHD may struggle to sit still, have difficulty engaging in quiet activities, and often seem on the go. Therefore, the nurse would expect to see signs of excessive movement and restlessness in a child with ADHD.
A nurse is documenting a patient's care in the electronic health record (EHR). What principle should guide the nurse's documentation practices?
- A. Recording only objective data to maintain accuracy
- B. Documenting all care provided, including assessments and interventions
- C. Avoiding documentation of errors or adverse events to prevent liability
- D. Delaying documentation until the end of the shift to save time
Correct Answer: B
Rationale: Documenting all care provided, including assessments and interventions, is the principle that should guide the nurse's documentation practices in the electronic health record (EHR). Comprehensive and accurate documentation is essential for ensuring continuity of care, communication among healthcare team members, and legal protection. By documenting all care provided, the nurse contributes to a complete and thorough picture of the patient's condition and treatment, facilitating safe and effective patient care. This principle also aligns with professional standards and regulatory requirements, emphasizing the importance of timely and complete documentation in the EHR.
Which of the following clinical features is most characteristic of acute respiratory distress syndrome (ARDS)?
- A. Hypoxemia refractory to supplemental oxygen
- B. Severe cough with purulent sputum production
- C. Chest pain exacerbated by deep breathing
- D. Productive cough with hemoptysis
Correct Answer: A
Rationale: Acute respiratory distress syndrome (ARDS) is a serious and life-threatening condition characterized by rapid onset of respiratory failure, severe hypoxemia (low oxygen levels in the blood), and non-cardiogenic pulmonary edema. The hallmark of ARDS is severe hypoxemia that is difficult to correct even with high levels of supplemental oxygen. Patients with ARDS often require mechanical ventilation to maintain adequate oxygen levels. Severe cough with purulent sputum production, chest pain exacerbated by deep breathing, and productive cough with hemoptysis are not typical features of ARDS.
A patient with a history of coronary artery disease is scheduled for coronary artery bypass graft (CABG) surgery. Which preoperative nursing intervention is essential for preparing the patient for surgery?
- A. Administering aspirin to prevent thrombosis
- B. Providing education about postoperative pain management
- C. Assisting the patient with deep breathing and coughing exercises
- D. Obtaining informed consent for the surgical procedure
Correct Answer: C
Rationale: Preoperative nursing intervention that is essential for preparing a patient with a history of coronary artery disease for coronary artery bypass graft (CABG) surgery is assisting the patient with deep breathing and coughing exercises. These exercises are crucial to prevent postoperative complications such as atelectasis and pneumonia, which are common risks after surgery. Deep breathing exercises help to expand the lungs and improve ventilation, while coughing exercises help to clear secretions and prevent respiratory complications. By assisting the patient with these exercises preoperatively, the nurse can help optimize the patient's respiratory function and decrease the risk of complications during and after surgery. Administering aspirin, providing education about pain management, and obtaining informed consent are also important aspects of preoperative care, but assisting with deep breathing and coughing exercises is particularly essential for patients undergoing CABG surgery due to the increased risk of respiratory complications in this population.