Author Question: After receiving the shift report, which of the following requires a priority action by the nurse? ... (Read 59 times)

Tazate · **on:** Jul 7, 2018

After receiving the shift report, which of the following requires a priority action by the nurse?

a. Discontinue an IV line from an insertion site that appears red and at which the patient complains of pain.
b. Make assignments for the team.
c. Talk to a patient who has changed his mind about having a procedure today.
d. Round on all the patients on their team.

Question 2

When incorporating the five rights of delegation, the right circumstance is used in which of the following situations?

a. The RN asks the UAP to draw a prothrombin time on a patient on a heparin drip.
b. The RN asks the UAP to draw blood on a patient with bilateral upper extremity lymphedema.
c. The RN asks the UAP to draw blood on a newly admitted patient with pneumo-nia.
d. The RN asks a new UAP to draw blood on a patient known to be a hard stick..

CharlieArnold · **Reply #1 on:** Jul 7, 2018

Answer to Question 1

A

Feedback
A Patient safety is a priority.
B This is not a priority for patient safety.
C This is not a priority for patient safety.
D This is not a priority for patient safety.

Answer to Question 2

C

Feedback
A The prothrombin time blood sample should not be obtained from the arm in which the heparin is running and the UAP is not qualified to know that.
B The site for blood draws in this patient would need to be carefully chosen by only an RN to protect the patient from injury.
C It is within the UAP's scope of practice to draw blood (if allowed in the institu-tion) from patients without IV issues.
D This is inappropriate delegation; the RN should draw this patient's blood.