Author Question: A nurse is delegating care of patients to the nursing assistant personnel (NAP) and a licensed ... (Read 61 times)

deesands · **on:** Jul 22, 2018

A nurse is delegating care of patients to the nursing assistant personnel (NAP) and a licensed practical nurse (LPN). Which situation indicates the nurse needs more instruction on delegation?

a. LPN to change a sterile dressing
b. NAP to provide skin care
c. NAP to insert an indwelling catheter
d. LPN to administer an enema

Question 2

A home health nurse is providing care to a patient. Which action by the nurse is a physical care technique?

a. Dressing a patient
b. Assisting a patient to learn how to shop
c. Performing range-of-motion exercises
d. Administering cardiopulmonary resuscita-tion

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

Answer to Question 1

C
The question indicates the nurse made an incorrect delegation assignment. An NAP cannot insert indwelling catheter, an LPN or RN can do that skill. Noninvasive and frequently repetitive in-terventions such as skin care, ambulation, grooming, and hygiene measures are examples of ac-tivities that you assign to NAP such as certified nurse assistants. Licensed practical nurses per-form these measures in addition to medication administration and many invasive tasks (e.g., dressing care and catheterization). It is appropriate for an RN to delegate, a sterile dressing change and enema to an LPN. It is appropriate for an RN to delegate skin care to an NAP.

Answer to Question 2

C
Physical care techniques involve the safe and competent administration of nursing procedures (e.g., inserting a urinary catheter, performing range-of-motion exercises). Dressing a patient is an activity of daily living. Shopping is an instrumental activity of daily living. Cardiopulmonary resuscitation is a lifesaving measure.