Author Question: The nurse is delegating frequent blood pressure (BP) measurements for a patient admitted with a ... (Read 81 times)

darbym82 · **on:** Jul 23, 2018

The nurse is delegating frequent blood pressure (BP) measurements for a patient admitted with a gunshot wound to a licensed practical nurse (LPN). When delegating, the nurse understands that:

a. He/she may assume that the LPN is able to perform this task appropriately.
b. The LPN is ultimately responsible for the patient findings and assessment.
c. The LPN may perform the tasks assigned without further supervision.
d. He/she retains ultimate responsibility for patient care and supervision is needed.

Question 2

The nurse is preparing to discharge a patient admitted with fever of unknown origin. The patient states, I never got past the fifth grade in school. Don't read much. Never saw much sense in it. But I do OK. I can read most stuff.

But my doctor explains things good, and doesn't think that my sickness is serious. The nurse should:
a.
Provide discharge medication information from a professional source to provide the most information.
b.
Expect that the patient may return to the hospital if the discharge process is poorly done.
c.
Assume that the physician and the patient have a good rapport and that the physician will clarify everything.
d.
Defer offering the patient the opportunity to get the influenza vaccine because of the rapport that he has with his physician.

diana chang · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: D
The RN retains ultimate responsibility for patient care, which requires supervision of those to whom patient care is delegated. In the process of collaboration, the nurse delegates certain activities to other health care personnel. The RN needs to know the scope of practice or capabilities of each health care member. For example, UAPs are capable of performing basic care that includes providing hygienic care, taking vital signs, helping the patient ambulate, and assisting with eating.

Answer to Question 2

ANS: B
Low health literacy is associated with increased hospitalization, greater emergency care use, lower use of mammography, and lower receipt of influenza vaccine. A goal of patient education by the nurse is to inform patients and deliver information that is understandable by examining their level of health literacy. The more understandable health information is for patients, the closer the care is coordinated with need.