Author Question: The RN and nursing assistive personnel (NAP) are caring for six patients on the pulmonary unit. ... (Read 73 times)

kamilo84 · **on:** Jul 22, 2018

The RN and nursing assistive personnel (NAP) are caring for six patients on the pulmonary unit. Which of the following tasks would be most appropriate for the nurse to delegate to the NAP?

a. Taking vital signs on a 56-year-old man with severe dyspnea
b. Suctioning a patient with hemoptysis
c. Encouraging a postoperative patient to use the incentive spirometer
d. Performing chest percussion on a patient with atelectasis

Question 2

A nurse is observing a client who is lying on an oscillating bed. Which of the following pressure-relieving actions does an oscillating bed offer?

A) Maintains capillary pressure
B) Prevents skin irritation and maceration
C) Promotes a sense of control
D) Relieves skin pressure

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

Answer to Question 1

C
Base your decision to delegate responsibility to nursing assistive personnel (NAP) on your as-sessment of the patient and the type of care the patient will receive. Consider which tasks are safe to delegate within the skill set of the NAP and how the patient will feel about the care that you have delegated. Incentive spirometry is a method of encouraging voluntary deep breathing by providing visual feedback to patients about inspiratory volume. It is an effective method for promoting deep breathing to prevent or treat atelectasis in the postoperative patient. Incentive spirometry encourages patients to breathe to their normal inspiratory capacities and can be dele-gated to a NAP. The priority is to maintain or improve the patient's oxygenation and meet the patient's needs. You are ultimately responsible for all the total patient care. In all the other res-ponses the patient is experiencing difficulties that require the nurse's attention: severe dyspnea (difficulty breathing), hemoptysis (bloody sputum), and chest percussion (done by nurses or res-piratory therapists).

Answer to Question 2

D
Feedback:
An oscillating bed relieves skin pressure and helps to mobilize respiratory secretions. A circular bed promotes a sense of control among otherwise dependent clients. An air-fluidized bed allows the client to float and prevents skin irritation and maceration from moisture. A lowair-loss bed maintains capillary pressure well below that which can interfere with blood flow.