Nokea
The LPN/LVN has delegated to the UAP the task of getting a patient out of bed for the first time after abdominal surgery. When the UAP enters the patient's room, he finds her very short of breath and complaining of chest pressure. According to the rights of delegation, which right does this fall under?
- A. Right task
- B. Right circumstance
- C. Right person
- D. Right direction
Correct Answer: B
Rationale: The right circumstance ensures the task is appropriate given the patient's condition, which has changed.
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In a court of law, there is a standard regarding documentation in patients' records. What is this standard and what does it mean?
- A. If it wasn't documented, it wasn't done
- B. Document only what you observe
- C. Document only what the patient reports
- D. Document only physician orders
Correct Answer: A
Rationale: This standard means that undocumented actions are assumed not to have occurred in legal proceedings.
What has changed to make this task no longer appropriate to delegate?
- A. Patient's condition has deteriorated
- B. UAP is not trained
- C. Task is too complex
- D. Patient refused
Correct Answer: A
Rationale: The patient's new symptoms (shortness of breath, chest pressure) indicate a change in condition, making delegation inappropriate.
The federal agency that supports health promotion and prevention of disease that also helps health-care professionals be prepared to respond to outbreaks of diseases and illnesses is called the
- A. Centers for Disease Control and Prevention (CDC)
- B. Food and Drug Administration (FDA)
- C. National Institutes of Health (NIH)
- D. Department of Health and Human Services (HHS)
Correct Answer: A
Rationale: The CDC is the federal agency responsible for health promotion, disease prevention, and preparedness for disease outbreaks.
What about the patient's comments concerns you?
- A. Patient's expectation to get pregnant post-surgery
- B. Patient's anxiety about the surgery
- C. Patient's desire to fix stomach pain
- D. Patient's plan for three or four children
Correct Answer: A
Rationale: The patient is unaware of the potential hysterectomy, which would prevent pregnancy, indicating a lack of informed consent.
An older patient has no living family members and asks the nurse to help her tell the doctor that she no longer wants to take treatment for her cancer. They discuss the possibility of the patient going into a hospice house in the future. The nurse stays with the patient when the patient talks to her doctor about her decision. This is an example of
- A. An ethical dilemma.
- B. Advocating for the patient.
- C. Do-not-resuscitate orders.
- D. A situation for the ethics committee.
Correct Answer: B
Rationale: The nurse supports the patient's autonomy and decision-making, acting as an advocate.