Managing Multiple Patient's (Module 2) Flashcards
The RN team leader asks the members of the nursing team if there are any special requests prior to making the patient assignment. What leadership type style is the RN team leader exhibiting?
Democratic
The RN requests to be assigned to provide nursing care for a patient recovering from bladder cancer surgery? Which statement by the RN would be the most professional reason for honoring the request?
“I did admit the patient yesterday and can assess his recovery process
What are the “rights” of delegation? Select all that apply
A. Right evaluation
B. Right Person
C. Right circumstance
D. Right communication
What are some factors that the RN must consider to effectively delegate? Select all that apply
A. Identification of the required activities necessary to perform the task
B. Knowledge of the scope of practice of the team member
C. Provide a match between the task and the ability of the person
D. Ability to supervise the performance of the task
Place in correct order the steps that will help ensure the best practice outcomes when the nurse delegates a task
A. Assess all aspects of the clinical situation
B. Identify the specific person to perform the task
C. Provide complete, easy to understand instructions
D. Provide ongoing supervision until task is completed
E. Evaluate outcomes of care
When identifying tasks for unlicensed assistive personnel (UAP), which characteristics of the task would you consider? Select all that apply
A. What is the degree of risk associated with the task?
B. How invasive is the task?
C. Is the task routine and has it been done before by the UAP
D. Is the outcome of the task predictable?
A patient requires a chair alarm as a means to help prevent a fall. What is the appropriate communication by the RN to the UAP?
“The chair alarms are located in the supply room, please obtain one now”
One hour after delivering a 9 pound baby, a patient feels faint, dizzy and states she feels a “gush” of blood from the vagina. Which task should the RN assign the unlicensed assistant personnel (UAP)?
Obtain an automatic BP machine
Base answers to the question on the ECHO Hospital Policy and Procedure Statement and the Patient’s SBAR.
*Harrison Smith’s plan of nursing care includes maintaining a toileting schedule. To which team member should this task be delegated?
UAP (unlicensed assistant personnel)
Base answers to the question on the ECHO Hospital Policy and Procedure Statement and the Patient’s SBAR.
*What direction by the RN should the UAP receive in assisting with the care of Harrison Smith?
Mr. Smith is to be in the chair for supper with an activated chair alarm
Base answers to the question on the ECHO Hospital Policy and Procedure Statement and the Patient’s SBAR.
*Jung Lee’s priority goal for the next shift is to ambulate in the hall followed by obtaining an oximetry measurement. Which team member most appropriate to perform this task?
LPN
Base answers to the question on the ECHO Hospital Policy and Procedure Statement and the Patient’s SBAR.
*Jack Black’s priority goal is pain control. Which team member is the person to perform pain assessment and education about pain medication?
RN
Base answers to the question on the ECHO Hospital Policy and Procedure Statement and the Patient’s SBAR.
*Mary Jackson may require a unit of packed red blood cells during the shift. Which team member would be required to initiate and monitor blood administration?
RN
Base answers to the question on the ECHO Hospital Policy and Procedure Statement and the Patient’s SBAR.
*Match the patient with the team member who would be assigned to provide care?
A. Jack Black (RN)
B. Harrison Smith (LPN)
C. Jung Lee (LPN)
D. Mary Jackson (RN)
Base answers to the question on the ECHO Hospital Policy and Procedure Statement and the Patient’s SBAR.
*After the nursing team has been given the change of shift or “hand off” report, the RN team leader communicates to the team members to report which of the following information as soon as it is obtained? Select all that apply
A. Mr. Lee’s oximetry reading after he ambulates in the hall
B. Mrs. Jackson’s hemoglobin report
C. Mrs. Jackson’s vital signs
Base answers to the question on the ECHO Hospital Policy and Procedure Statement and the Patient’s SBAR and midshift huddle.
*Identify the appropriate nursing staff member (RN,LPN,UAP) to perform the following activities for Faith Snyder When she is admitted to the unit.
A. Admission Health History (RN) B. Admission physical assessment (RN) C. V/S (UAP) D. Medication administration (LPN) E. Continuous oximetry monitoring with activation of appropriate alarm settings (RN) F. Nursing Care Plan (RN)
Base answers to the question on the ECHO Hospital Policy and Procedure Statement and the Patient’s SBAR and midshift huddle.
*Which team member would be delegated to provide primary care for Mary Jackson?
John White, RN
Base answers to the question on the ECHO Hospital Policy and Procedure Statement and the Patient’s SBAR and midshift huddle.
*Which team member would be delegated to provide primary care for Harrison Smith?
Anna Garret, LPN
Base answers to the question on the ECHO Hospital Policy and Procedure Statement and the Patient’s SBAR and midshift huddle.
*Which team member would be delegated to provide primary care for Jack Black?
John White, RN
Base answers to the question on the ECHO Hospital Policy and Procedure Statement and the Patient’s SBAR and midshift huddle.
*Which team member would be delegated to provide primary care for Jung Lee?
Anna Garret, LPN
Base answers to the question on the ECHO Hospital Policy and Procedure Statement and the Patient’s SBAR and midshift huddle.
*Which team member would be delegated to provide primary care for Faith Snyder?
RN team leader
What is the appropriate statement by the RN team leader to team members at the end of the shift?
“Thank you all. We provided quality care tonight.”
Two nurses are requesting the same supper break but only one nurse can leave the nursing unit. One nurse tells the charge nurse “it’s OK to give the early supper break to my co-worker. I really don’t want to deal with the complaints.” How is the first nurse reacting to the potential conflict?
Withdrawing
How does the RN team leader organize patient rounds at the beginning of the shift?
Start with the patient returning from an invasive procedure
The RN delegated to the UAP to reposition the patient in room 305. Two hours later, the RN notices the patient has not been repositioned. What should the RN have communicated to ensure that the task was completed?
Inform the UAP of the expected time frame to reposition the patient
Which action must the RN perform and cannot delegated to the LPN?
Evaluate the patient’s ability to identify symptoms requiring medical care
At the end of the shift, the RN tells the team leader. “Nobody ever helps me- and I help everyone.” What is the appropriate action by the RN team leader?
“How did you communicate that you need help?”
**What are the appropriate assignments for the nursing team caring for pediatric patient’s? Select all that apply
A. UAP to comfort a child when the child has night terrors
B. RN to review recommended immunization schedule with the parent
C. LPN to provide play activity to a child with a fractured leg and on bed rest
The evening nursing staff complains to the RN team leader that a staff member frequently comes to work 15 minutes late. What is the RN team leader’s response?
Begin a private dialogue with the staff member about perceptions and expectations
The RN is assigned to care for several patients. Which nursing interventions must the RN plan to perform? Select all that apply
A. Teach medication action with patient/family
B. Initiate a transfusion of packed red blood cells
C. Update patient care outcomes
The RN hears the UAP say “All I do is clean patients who are incontinent.” What is an appropriated response by the RN?
The patients really appreciate what you do
A patient is being transferred from the PACU (post anesthesia care unit) after a bowel resection. The LPN offers to help the RN with the admission process. WHat activities can be delegated to the LPN? Select all that apply
A. Obtain v/s and spo2 level
B. Place the patient on oxygen as prescribed
C. Apply intermittent compression devices
Which care activity is best delegated by the RN to the UAP for a patient who is one day post abdominal surgery and who has a nasogastric tube (NG)?
Maintain the head of the bed elevated 30 degrees
The RN is admitting a pateint with diarrhea and sever dehydration with the assistance of the UAP and LPN, What is the appropriate delegation by the RN to the nursing team?
Have the RN monitor the first dose of antibiotics
Which assignments demonstrate appropriate delegation of patient care activities? Select all that apply
A. RN monitor a patient receiving fresh frozen plasma
B. UAP to obtain and record daily weights
C. RN to complete the morning assessments
During nursing rounds, the RN team leader receives report that the patient with heart failure experienced liht headedness and tachypnea afer ambulating in the hall. Should the RN assign a UAP to assist the patient to ambulate during the shift?
No, the patient needs to be assessed during ambulation
The RN who workd on a medical nursing unit is asked to work in the ER after a hurricane. Which type of patient would be the most appropriate patient care assignment for the medical surgical RN temporarily working in the emergency department?
The patient with an elevated temperature and acute confusion
The UAP obtains the morning VS and reports to them to the RN. Which vs finding requires the RN to notify the physician/provider immediately?
A temperature of 101 F (38.3C) on a patient with a kidney transplant
A newly hired UAP is assisting a patient with dementia with activities of daily living. Which action taken by the UAP requires the RN to intervene?
Rearrange the patient’s room after cleaning and plce objects in the closet
A patient is admitted with the medical dx of peripheral disease and an ischemic right leg. Which element of care for this patient can be assigned to the LPN by the RN?
Administer the oral anticoagulants
The RN is preparing a patient for emergent placement of a chest tube. What is the priority task for the RN?
Complete the pre procedure verification process
The UAP has been assigned the task of obtaining oral intake and output (I&O) on patients at the end of the shift. The LPN reports to the RN that this task has not been completed. What is the RNs best action?
Ask the UAP what instructions were given regarding the task
The nursing staff initiates basic CPR on a patient in cardiac respiratory arrest. What is an appropriate task for the RN to delegate to the UAP after the resuscitation team arrives?
Obtain additional supplies as directed
