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12 Cards in this Set

  • Front
  • Back
What are the 5 rights of delegation?
Right task
Right circumstance
Right person
Right communication
Right supervision
A nurse is assigned to care for 4 clients. In planning client rounds, which client should the nurse assess first?

1. A client scheduled for a chest xray
2. Client requiring daily dressing changes
3. Post op client preparing for discharge
4. Client receiving nasal O2 who had difficulty breathing during the previous shift
4 - ABC's, need the most attn
1-3 are stable, don't know if they have low B/P
a RN is planning client assignments for the day. Which is most appropriate for NA?
1. A client requiring a colostomy irrigation
2. Client receiving continuous tube feeding
3. Client who require urine specimen collection
4. Client with difficulty swallowing food and fluids
3- Correct answer, key part of this is MOST APPROPRIATE, you may assign the NA to work on other tasks with these patients
What cannot be delegated to an LPN or UAP?

(6)
initial assessment/additional assessments requiring judgment
nsg diagnosis related decisions
decisions about pt outcomes
approval of plan of care
tasks requiring nsg judgment
evaluation of nsg care
Scope of practice for LPN's?

(6)
accepts assignments competent to perform
provide basic nsg care
record care given/report chgs in condition
consult with RN/MD if action may harm patient
assist w/data collection, develop, maintain care plan
reinforce teaching
What defines the legal scope of practice for nursing?
1. The joint commission
2. ANA scope and standards
3. National council of state boards of nursing
4. State nurse practice act
Answer is 4 - state nurse practice act
What is the primary purpose of the Nurse practice Act?
to protect the public
What defines the legal scope of practice for nursing?
State Nurse Practice Act
First and foremost, how is competence in nursing practice evaluated?
self assessment

You have to make sure you are competent - responsible to say when you are not
What is used to evaluate whether the RN is meeting each of the standards?
Related competencies
Assessment, diagnosis and evaluation are some of the standards found in
the standards of practice
what do the standards of professional performance describe
the competent level of behaviors of the RN