Answer to Question 1Ans: A, B, C, D
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The National Council State boards of Nursing/American Nurses Association (NCSBN/ANA) document
https://www.ncsbn.org/Delegation_joint_statement_NCSBN-ANA.pdf lists the right task, circumstances, person, direction/communication, and supervision/evaluation as the five rights of delegation. The LP/VN did not delegate the right task and should have caught this by reading the client's history and performing an assessment of the client. The LP/VN should have stopped the delegation at the first step of the process. The right circumstances did not exist because the client has a history of urinary strictures, and may need a special catheter or if any resistance is noted while attempting the catheterization, the procedure should be stopped and the ordering physician notified. The right person was not considered properly because the client needed someone with experience and the LP/VN delegated the task to an NA who had not performed the procedure on a client and only had practiced it in the lab on a mannequin. The nurse should always provide directions for a delegation and at what point the NA should ask for help. The LP/VN did supervise and evaluate the situation, but by missing the other stopping points, the consequences of the delegation were unfavorable for the client.
Answer to Question 2Ans: C
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Individuals' job descriptions form the basis of a safe and efficient client assignment. These are more important than continuing education. Attendance records and high school education are not relevant.
The mammalian urinary system including the basic functional unit of the nephron.
The tone of the nurse-patient introduction sets the stage for the patient interview and patient care
A nurse adjusts the rate of a client’s IV.
The nurse applies a pulse oximeter sensor on the client’s finger.
Urinary diversion – Koch pouch.
Procedures and Diagnostic Tests Related to the Urinary System