Delegation Questions: Chapter 8 – Flashcards
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You are reviewing the complete blood count for a patient ho has been admitted for knee arthroscopy. Which value is most important to report to the physician before surgery?
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White blood cell count of 16,000
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You are providing orientation for a new RN who is preparing to administer packed RBCs to a patient who had blood loss during surgery. Which action by the new RN requires that you intervene immediately?
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Priming the transfusion set using 5% dextrose in LR's solution.
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A 32 year old patient with sickle cell anemia is admitted to the hospital during a sickle cell crisis. Which action prescribed by the health care provider will you implement first?
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Administer 100% oxygen using a non-rebreather mask.
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These activities are included in the care plan for a 78 year old patient admitted to the hospital with anemia caused by possible GI bleeding. Which activity can you delegate to an experienced UAP?
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Obtaining stool specimens for fecal blood test (hemoccult) slides.
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As charge nurse, you are making the daily assignments on the medical-surgical unit. Which patient is best assigned to a float nurse who has come from the PACU?
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a 52 year old patient with chronic GI bleeding who has returned to the unit after a colonoscopy.
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You are making a room assignment for a newly arrived patient whose laboratory test results indicate pancytopenia. Which patient will be the best roommate for the new patient?
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Patient with digoxin toxicity.
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A 67 year old who is receiving chemotherapy for lung cancer is admitted to the hospital with thrombocytopenia. Which statement made by the patient when you are obtaining the admission history is of most concern?
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"I take one aspirin every morning because of my history of angina."
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After a car accident, a patient with medical alert indicating hemophilia A is admitted to the ED. Which action prescribed by the health care provider will you implement first?
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Transfer factor VII concentration.
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As a home health nurse you are obtaining an admission history for a patient who has deep vein thrombosis and is taking warfarin 2 mg daily. Which statement by the patient is the best indicator that additional teaching about warfarin may be needed?
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"I have started to eat more healthy foods like green salads and fruits."
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A patient is admitted to the intensive care unit with DIC associated with a gram-negative infection. Which assessment information has the most immediate implications for the patient's care?
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The patients oxygen saturation is 87%.
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A 22-year-old with stage one Hodgkin's disease is admitted to the oncology unit for radiation therapy. During the initial assessment, the patient tells you "sometimes I'm afraid of dying" which response is most appropriate at this time?
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"Tell me a little more about your fear of dying."
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You receive a change of shift report about the following patients. Which one will you assess first?
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69 year old with chemotherapy-induced neutropenia who has an oral temperature of of 100.1.
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A patient in a long-term care facility who has chronic lymphocytic leukemia has a nursing diagnosis of activity intolerance related to weakness and anemia. Which nursing activity will you delegate to the UAP?
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Checking the patients blood pressure and pulse after ambulation.
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A transfusion of packed red blood cells has been infusing for five minutes when the patient becomes flushed and tachypneic and says "I'm having chills. Please get me a blanket" which action should you take first?
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Stop the transfusion.
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A group of patients is assigned to an RN/LPN team. The LPN should be assigned to provide patient care in administer medications to which patient?
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36 year old with chronic kidney failure who will need a subcutaneous injection of epoetin alfa (Procrit).
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You obtain the following data about a patient admitted with multiple myeloma. Which information has the most immediate implications for the patient's care?
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The patient reports new-onset leg numbness.
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The nurse in the outpatient clinic is assessing a 22-year-old who required a splenectomy after a recent motor vehicle accident. Which information obtained during the assessment will be of most immediate concern to the nurse?
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The oral temperature is 100 degrees F.
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A patient with graft versus host disease after bone marrow transplant Transplantation is being cared for on the medical unit. Which nursing activity is best delegated to a travel RN?
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Infusing 5% dextrose in 0.45% saline at 125 ml/hr.
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You are the charge nurse on and oncology unit when a patient with an absolute neutrophil count of 300 is admitted. Which staff member should you assigned to provide care for this patient under the supervision of an experienced oncology registered nurse?
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LPN/LVN with 2 years of experience on the oncology unit.
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You're transferring a patient with newly diagnosed chronic myeloid leukemia to a long-term care facility. Which information is most important to communicate to the long-term care charge nurse before transferring the patient?
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The patients chemotherapy has resulted in neutropenia.
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A patient with acute myelogenous leukemia is receiving induction phase chemotherapy. Which assessment finding requires the most rapid action?
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Serum potassium level of of 7.8 mEq/L.
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A patient who has been receiving cyclosporine following an organ transplantation is experiencing the following symptoms. Which one is of the most concern?
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Nontender lump in the right groin.
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A patient with Hodgkin's lymphoma who is receiving radiation therapy to the groin area has skin redness and tenderness in the area being Irradiated. Which nursing activity should you delegate to the UAP caring for the patient?
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Cleaning the skin over the area daily with a mild soap.
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After you receive the change of shift report, which patient will assess first?
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20 year old with possible acute myelogenous leukemia who has just arrived on the medical unit.
