Author Question: Which of the following statements regarding utilization of personnel made by a new graduate nurse ... (Read 39 times)

student77 · **on:** Jul 23, 2018

Which of the following statements regarding utilization of personnel made by a new graduate nurse requires immediate follow-up by the nurse's mentor?

1. My LPN is really good with dressings, so I usually delegate them to her.
2. I always take the time to ambulate a post op client the first time out of bed.
3. I always try to help my nursing assistant with the clients who require a total bed bath.
4. I have my nursing assistant take and document all vital signs and intake and outputs.

Question 2

Which of the following nursing actions is most likely a result of the nurse's clinical experience?

1. Placing an immobile client on a turning schedule
2. Always assessing a client's IV site before hanging a new bag of fluid
3. Requesting that the nursing assistant have vital signs recorded by 0815
4. Administering a pain medication 30 minutes before changing a burn dressing

chereeb · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: 4
The nurse is responsible for determining whether to perform an intervention or to delegate it to another member of the nursing team. Assessment of a client directs the decision about delegation and not the intervention alone. Vital signs are important indicators of a client's health status and the task should be delegated to ancillary personnel only when the client is in a stable condition; otherwise, the nurse should be responsible. The other options reflect responsible assignment of personnel.

Answer to Question 2

ANS: 2
As a nurse gains clinical experience, he or she will be able to consider which interventions have worked previously, which have not, and why. The decision to check each IV site has become a practice standard for this nurse as a result of previous experiences with IV sites. The remaining options are either standards of care or facility/unit standards.