Author Question: During the admission phase, the nurse is required to assess the client and collect information for ... (Read 69 times)

cmoore54 · **on:** Jul 22, 2018

During the admission phase, the nurse is required to assess the client and collect information for the database. The nurse can also delegate some part of the work to other ancillary staff.

Which of the following can the nurse delegate to an unlicensed care provider? A) Certain aspects of the client's physical assessment
B) Creating a nursing care plan
C) Administering the client's medications
D) Documenting the client's medical history

Question 2

A nurse is caring for a client who has been admitted with a fracture in his hand. How should the nurse assist the client to undress at the bedside?

A) Roll the client from side to side.
B) Lift the client's head to guide the garment over it.
C) Gather the garment and work it up and over the body.
D) Ask the client to lift his hips to slide clothes up or down.

succesfull · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

A
Feedback:
Although the registered nurse is responsible for the admission assessment, the nurse may delegate some aspects to the practical nurse, nursing student, or other ancillary staff. For example, the nurse can delegate parts of the client's physical assessment, which includes taking vital signs, to the other ancillary staff. The nurse cannot normally delegate the creation of a care plan, medication administration or documentation to an unlicensed care provider.

Answer to Question 2

C
Feedback:
The nurse should gather the garment and work it up and over the body. The nurse should not roll the client from side to side or ask the client to lift his head or hips as the client may be weak and tired. The client can sit on the edge of the bed and can help the nurse in the process. The nurse should first release any fasteners such as zippers and buttons and remove the item of clothing in whatever way is most comfortable and least disturbing.