Which nursing activity can the nurse delegate to unlicensed ...

[newyorker26]

Which nursing activity can the nurse delegate to unlicensed assistive personnel (UAP) who are working in a family practice clinic?
 
  a. Make referrals to community substance abuse treatment centers.
  b. Teach patients about the use of prescribed nicotine replacement products.
  c. Administer and score the Alcohol Use Disorders Identification Test (AUDIT).
  d. Obtain patient histories regarding alcohol, tobacco, and other substance abuse.

Question 2

A patient is admitted to the emergency department for treatment of a possible opioid overdose. Rank the nursing activities in the correct order from first activity to last activity. (Put a comma and a space between each answer choice A, B, C, D, E).
 
  a. Initiate IV access.
  b. Take a health history.
  c. Obtain a toxicology screen.
  d. Administer naloxone (Narcan).
  e. Provide respiratory support with a bag-valve mask.

[lcapri7]

Answer to Question 1

ANS: C
No clinical judgment is needed to administer the AUDIT, which is a written questionnaire that is given to patients for self-administration and scored based on patient answers. Making appropriate referrals, patient teaching, and obtaining a patient history all require critical thinking and RN education and scope of practice.

Answer to Question 2

ANS:
E, A, D, C, B
Maintenance of the airway is the first priority for patients with possible depressant overdose. Opioid antagonists are given before toxicology testing is done because reversal of the opioid will prevent respiratory arrest. However, this will require IV access. The toxicology report will help guide further treatment for possible multiple substance ingestions. The health history will guide care after the initial emergency treatment phase.

[newyorker26]

TYSM

[amcvicar]

Excellent