Blair is a nurse who works for a pulmonary unit. Together she and ...

[rachel9]

Blair is a nurse who works for a pulmonary unit. Together she and Sheila, a nursing assistive personnel (NAP), are caring for six patients on her shift. Sheila is relatively new, but has been checked on basic competencies.
 
  Which of the following tasks would be most appropriate for Blair to delegate to Sheila? A. Taking vital signs on a 56-year-old man with dyspnea
  B. Suctioning a patient with hemoptysis
  C. Encouraging a postoperative patient to use the incentive spirometer
  D. Performing chest percussion on a patient with atelectasis

Question 2

A patient needs to have a Foley catheter inserted. To correctly perform this procedure, the nurse will do the following in what order? Prioritize in order of occurrence. (Separate letters by a comma and space as follows: A, B, C, D.)
 
  A. Test the balloon.
  B. Open the catheterization kit.
  C. Wash the perineal area with soap and water.
  D. Position the patient.

[robbielu01]

Answer to Question 1

C
Base your decision to delegate responsibility to nursing assistive personnel (NAP) on your as-sessment of the patient and the type of care the patient will receive. Consider what tasks are safe to delegate within the skill set of the NAP and how the patient will feel about the care that you have delegated. The priority is to maintain or improve the patient's oxygenation and meet the patient's needs. You are ultimately responsible for all the total patient care.

Answer to Question 2

D, C, B, A

Positioning permits visualization of the perineal structures. Washing reduces microorganisms. The catheterization kit contains materials necessary to insert the catheter. Checking the integrity of the balloon ensures proper use.