When incorporating the five rights of delegation, the right ...

[Mr.Thesaxman]

When incorporating the five rights of delegation, the right supervision is used in which of the following situations?
 
  a. The RN assesses a patient after the UAP reports a blood glucose level of 56 mg/dL.
  b. The RN administers orange juice to a patient reported by the UAP to have a blood glucose level of 56 mg/dL.
  c. The RN holds the morning insulin on a patient reported by the UAP to have a blood glucose level of 56 mg/dL.
  d. The RN administers the morning insulin after assessing a patient reported by the UAP to have a blood glucose level of 56 mg/dL.

Question 2

When a nurse recommends to the nurse manager a more efficient approach to organizing care, this type of organizational communication is called:
 
  a. downward. c. lateral.
  b. upward. d. diagonal.

[Chocorrol77]

Answer to Question 1

A

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A The UAP reports a low blood glucose level. The RN must check the patient's response to that glucose level and may need to repeat the measurement if the patient's assessment does not correlate with the low level, and thus the RN is supervising the performance of the UAP in that task.
B This would be an inappropriate action without first assessing the patient's re-sponse and therefore accuracy of the glucose level obtained.
C This would be an inappropriate action without first assessing the patient's re-sponse and therefore accuracy of the glucose level obtained.
D This would put the patient at risk for severe hypoglycemia if the blood glucose level is accurate. The RN should assess the patient and the accuracy of the re-ported glucose level. If the glucose level is as stated, the appropriate action by the RN would be to hold the insulin until the blood glucose is at an appropriate level.

Answer to Question 2

B
In upward communication, the idea originates at some level below the top of the structure and moves
upward.