TopHat in-class Week 1 - Delegation/Prioritization Flashcards
Emergent, Urgent of non-urgent
Which patient should the emergency room nurse list as urgent?
A - Patient A admitted to ER with chest discomfort and shortness of breath
B - Patient B admitted with slurred speech and left side weakness
C - Patient C admitted with abdominal pain and right-sided rebound tenderness
D - Patient D admitted with ear pain and sinus congestion with fever
C - Patient C admitted with abdominal pain and right-sided rebound tenderness
Priority Categories
A 58 year old patient presents in the ER a BP of 210/140, vomiting and confusion. Which category should the nurse assign to this patient?
A - Urgent
B - Non-urgent
C - Emergent
D - Semi-urgent
C - Emergent
Delegation - rights
The registered nurse (RN) requests the unlicensed assistive personnel (UAP) ambulate a patient with orthostatic hypotension and weakness, up and down the hall after breakfast and lunch for 10 minutes and to report back when task completed. Which right of delegation did the RN violate?
A - Right task
B - Right circumstance
C - Right direction
D - Right supervision
B - Right circumstance
Delegation LPN
The RN is working with an UAP and LPN. Which assignment is most appropriate to assign to the LPN?
A - Emptying a urine catheter bag on a immobile patient
B - Assessing the lungs on a patient with leg cellulitis
C - Taking vital signs on the post-op patient
D - Teaching a newly diagnosed patient about diabetes
B - Assessing the lungs on a patient with leg cellulitis
delegation uap
Which patient task can the registered nurse assign to the unlicensed assistive personnel (UAP)?
A - Assist a client with a new colostomy with his colostomy irrigation
B - Obtain a stool sample from a patient reporting diarrhea
C - Obtain a urine sample from an indwelling catheter
D - Obtain a diet history from a patient complaining of heartburn
B - Obtain a stool sample from a patient reporting diarrhea
delegation uap
Which task is most appropriate for the RN to delegate to the UAP?
A - Monitor the post-op patient for shortness of breath after ambulating the patient in the hallway
B - Obtain the pulse ox on a patient who became short of breath while ambulating in the hallway
C - Determine when it is appropriate for the patient to rest during ambulation
D - Reinforce with the patient the need to balance rest with activity
B - Obtain the pulse ox on a patient who became short of breath while ambulating in the hallway
priority patient list - simple
A triage nurse, working in the Emergency Room received four admissions. Which patient should the nurse see first?
A - A 40 year old client who is diaphoretic and complains of chest pain
B - An 18 year old client who thinks he might have a broken tooth from playing football
C - A 35 year old client who cut her finger with a knife while preparing food
D - A 60 year old client who is dyspneic and has swollen lips after being stung by a bee.
D - A 60 year old client who is dyspneic and has swollen lips after being stung by a bee.
delegation
A nurse is caring for a group of patients on the medical-surgical unit with the help of one float registered nurse (RN), one unlicensed assistive personnel (UAP), and one licensed practical/vocational nurse (LPN/LVN). Which assignment, if delegated by the nurse, would be inappropriate?
A - Delegate the LPN to assess the bowel sounds on a post-op patient
B - Assign the LPN to administer the daily antihypertensive meds to a patient scheduled for a chest X-Ray.
C - Assign the float RN to a patient with diabetes and urinary frequency
D - Request that the UAP ask the patient about his arthritis pain
D - Request that the UAP ask the patient about his arthritis pain
Delegation - UAP
The patient is providing care to the patient with cystitis. Which task can be delegated to the UAP?
A - Teach the patient the manifestations of cystitis
B - Check the patient’s urine for color and odor
C - Review the plan of care to correct the cystitis
D - Provide the patient with a clean-catch urine container.
D - Provide the patient with a clean-catch urine container.
RN intervene delegation
A charge nurse recognizes that the new RN’s is in need of further education regarding delegation of patient care when charge nurse overhears the RN makes which statement to the nursing assistant?
A - “Make sure you wear gloves when you emptying the foley bag.”
B - “Prepare a sitz bath for Mrs. Jones who has a perineal laceration.”
C - “When changing Mr. Jones, socks, let me know if there is any further drainage on the toes.”
D - “The supplies to perform post mortem care are in the closet down the hall.”
C - “When changing Mr. Jones, socks, let me know if there is any further drainage on the toes.”
Priority action
An adult patient is brought in by ambulance after a motor vehicle accident. He is unconscious, on a backboard with his neck immobilized and is bleeding profusely from a large gash on his head. What action should the nurse take first?
A - Stop the bleeding
B - Check his airway
C - Take his vital signs
D - Verify his neurological status
B - Check his airway
Prioritize patient list
List in order of priority which patient the the nurse should assess 1st, 2nd, 3rd and last.
Drag and drop to order
A
Patient admitted with chronic bronchitis and reports cough with green sputum
B
Patient admitted with chronic renal failure who has been without dialysis for 3 days.
C
Patient reporting anxiety and feeling stressed with clenched fists
D
Patient post-op day #2 fracture hip repair who reports not having a bowel movement since before surgery.
1 - C
Patient reporting anxiety and feeling stressed with clenched fists
2 - B
Patient admitted with chronic renal failure who has been without dialysis for 3 days.
3 - A
Patient admitted with chronic bronchitis and reports cough with green sputum
4 - D
Patient post-op day #2 fracture hip repair who reports not having a bowel movement since before surgery.
Family - first visit
The N320 family is visiting the clinic for the first time and will be seen by the Nurse Practitioner for the initial screening. Given the initial information provided by each patient, prioritize the order in which each member is seen by the NP?
Drag and drop to order
A
Debbie is 45 year old reports occasional heart palpitations otherwise is healthy
B
Frank 82 years old has history of arthritis with a recent diagnosis of skin cancer
C
Carlos 48 years old has a history of pre-hypertension controlled by diet and weight control
D
Eleanor 78 years old has pre-diabetes reporting increased urination and smokes 1 pack of cigarettes a day
1 - A
Debbie is 45 year old reports occasional heart palpitations otherwise is healthy
2 - D
Eleanor 78 years old has pre-diabetes reporting increased urination and smokes 1 pack of cigarettes a day
3 - C
Carlos 48 years old has a history of pre-hypertension controlled by diet and weight control
4 - B
Frank 82 years old has history of arthritis with a recent diagnosis of skin cancer
