A nurse is working on a medical unit, and assigns a nurse's aide ...

[jake]

A nurse is working on a medical unit, and assigns a nurse's aide to take vital signs for several clients. The aide completes this task and documents them accordingly.
 
  One of the clients had a blood pressure reading of 180/110, and it wasn't until the end of the shift that the nurse was apprised of this value. The physician was notified, and orders were received for treatment, but not until much later in the shift. Which responsibility of delegation did the nurse fail to carry out?
  1. Delegating to the appropriate staff.
  2. Delegating the appropriate task.
  3. Selecting the appropriate client.
  4. Appropriately supervising care.

Question 2

A nurse has taken a position with an insurance company to review clients' records and the care they received while they were inpatient status.
 
  Part of the job description requires the nurse to make sure the client (and insurance company) were billed for services and treatment/therapies rendered and that there were no errors in billing. This type of audit is which of the following?
  1. Concurrent
  2. Peer review
  3. Nursing audit
  4. Retrospective

[Alyson.hiatt@yahoo.com]

Answer to Question 1

Correct Answer: 4
Rationale 1: The nurse did delegate to the appropriate staff, since securing vital signs is within the scope of practice for a nurse's aide.
Rationale 2: The nurse did delegate an appropriate task, since securing vital signs is within the scope of practice for a nurse's aide.
Rationale 3: There was no indication given that the clients were not appropriately selected for this task.
Rationale 4: The nurse has two responsibilities in delegating and assigning duties: (1) appropriate delegation of duties (that is, giving people duties within their scope of practice) and (2) adequate supervision of personnel to whom work is delegated or assigned. In this situation, the nurse gave an unlicensed person a duty that was appropriate. The aide completed the duty and documented the findings. The nurse is still responsible for analyzing data, planning care, and evaluating outcomes. In this case, the nurse failed to follow up (supervise) after the duty was performed and analyze the findings.

Answer to Question 2

Correct Answer: 4
Rationale 1: Concurrent audit is the evaluation of a client's health care while the client is still receiving the care from an agency.
Rationale 2: A nursing audit is a type of peer review, in which the audit focuses on evaluating a specific nurse's nursing care through the review of records.
Rationale 3: A nursing audit is a type of peer review, in which the audit focuses on evaluating a specific nurse's nursing care through the review of records.
Rationale 4: A retrospective audit is the evaluation of a client's record after discharge from an agency. The word retrospective means relating to the past. If the nurse is reviewing records after the client has been discharged, the information being examined is in the past.

[jake]

TYSM

[nathang24]

Gracias!