Author Question: A nursing student is undergoing a community health clinical rotation. One of the patients is a ... (Read 168 times)

kfurse · **on:** Jul 22, 2018

A nursing student is undergoing a community health clinical rotation. One of the patients is a 53-year-old grandmother who has recently assumed custody of her daughter's two young child-ren, ages 3 and 5 years old.

Regarding the children's welfare, which of the following is most important for the nursing student to assess on this visit? a. The patient's financial ability to care for two young children
b. The patient's knowledge of safety precau-tions for young children
c. The patient's emotional stability
d. The patient's feelings regarding taking on this responsibility

Question 2

In a nursing unit, the RN delegates nursing tasks to the nursing assistant. Keeping in mind the delegation guidelines, which statement denotes the right direction for the nursing assistant?

A) Discontinue the IV solution.
B) Dispose of the disconnected IV set.
C) Inspect the site for thrombophlebitis.
D) Check the infusion rate.

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

Answer to Question 1

B
Some patients are unaware of safety precautions, such as keeping medicine, poisonous plants, or other poisons away from children or reading the expiration date on food products. A nursing as-sessment will identify the patient's level of knowledge regarding home safety so that safety problems can be corrected with an individualized care plan. Although the other responses are important, they are not the focus of home safety issues, but financial and emotional aspects of care.

Answer to Question 2

B
Feedback:
The statement, Dispose of the disconnected IV set is in accordance with the delegation guidelines of right direction. The nurse should provide all the necessary information to carry out the assigned task. The other statements do not follow the delegation guideline of right direction because the tasks mentioned in the other instructions are not a nursing assistant's role.