Author Question: When a nurse delegates a task to be completed by another individual, who supervises that care ... (Read 133 times)

nevelica · **on:** Jul 22, 2018

When a nurse delegates a task to be completed by another individual, who supervises that care provided?

a. the physician
b. the charge nurse
c. no one
d. the nurse who originally delegated the task

Question 2

The physician has ordered intravenous phenytoin (Dilantin) for seizures. The client is also receiving 5 dextrose in water (D5W) intravenously (IV). What will the nurse plan to do before administering this medication? (Select all that apply.)

1. Flush the IV line with saline
2. Monitor the client for hypertension
3. Use an IV line with a filter
4. Use a large vein for the infusion
5. Monitor the client for Stevens-Johnson Syndrome

Meganchabluk · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

D
The registered nurse is legally responsible for all nursing care given. The registered nurse remains accountable for appropriate delegation and supervision of the care provided by individuals to whom the tasks were delegated to complete.

Answer to Question 2

1. Flush the IV line with saline
3. Use an IV line with a filter
4. Use a large vein for the infusion

Rationale:
Intravenous lines of D5W must be flushed with saline, as traces of dextrose can cause microscopic precipitate formations that become emboli, if infused. An intravenous filter will trap any precipitate that occurs. Phenytoin (Dilantin) is a soft-tissue irritant that will cause local tissue damage if extravasation occurs, so a large vein must be used for infusion. Clients receiving phenytoin (Dilantin) are at risk for hypotension, not hypertension. Stevens-Johnson Syndrome is a side effect of phenytoin (Dilantin), but it takes days to occur.