Critical Thinking Questions- Delegating

Can a CNA help a newly-admitted client with chest pain with his ALDs?

Can an LVN or LPN feed a client with difficulty swallowing (dysphagia) begin a thickened liquid diet?

Can a CNA ambulate a client with a chest tube who becomes short of breath with exertion?

Can a CNA transport a client on a Nasal Cannula who is breathing 36 breaths per minute?

Can an LVN document and chart hourly IV intake?

Can the LVN change a simple dressing of a fresh postoperative client who had surgery on his right index finger?

Can the LVN or LPN assess whether a client who just had a upper endoscopy is ready to have ice chips?

Can a CNA help a client who has a pacemaker bathe on his day of discharge?

Can a CNA/UAP teach a client how to use a thermometer?

Can a CNA help a client irrigate a colostomy?

Can the LVN empty a JP drain?

The client in room 2 is complaining of new onset pain. Who should go see the client?

Can the CNA record vital signs in the medical record

Can the LVN monitor vital signs, bleeding, skin color and skin temperature on a client who had a hip replacement?

Can the CNA remind the client to do his incentive spirometry every hour?

Can the CNA teach the client how to use the incentive spirometer?

Can the RN instruct the CNA to notify the RN if a client has heart rate > 100 or < 60 or if a client has a temperature > 100.4 F?

Can the LVN care for a client with changes in LOC and blood pressure?

Can the LVN care for a client who had a left hemisphere stroke 5 days ago and has a history of emphysema and diabetes type 2?

The nurse is caring for a client with heart failure. The client is short of breath and has crackles at the bases. What should the nurse do FIRST?

Which of the following clients should the nurse assess FIRST?

Which of the following clients should the nurse help FIRST?

Would you assign a newly-diagnosed client with type 1 diabetes to an LVN?

Would you assign a client on traction and with weight bags to an LVN?

The nurse is working in the orthopedic floor. Which of the following clients should the nurse see first?

Can the Registered Nurse delegate to the LVN a client who is complaining of new-onset constipation?

Can the RN instruct a client with hyperthyroidism to report any occurrences of palpitation, nervousness, inability to sleep, and muscle weakness?

Can the LVN transport a client with hyperthyroidism to x-ray who is breathing 30 breaths/minute

Which of the following clients should the charge nurse assign to a new traveling nurse?

The nurse is a caring for a client who had an episode of supraventricular tachycardia and received Cardizem IV. Which of the following can the RN delegate to the UAP?

Which of the following can the RN delegate to a UAP?

The LVN is assisting the RN with a client who was admitted with acute coronary syndrome. What actions are appropriate to assign the experienced LVN/LPN? Select all that apply.

The nurse is caring for a client with diabetes insipidus due to a brain tumor that damaged the client’s pituitary gland, leading to a DECREASE in Antidiuretic Hormone (ADH).  The client makes large amounts of urine.  Which of the following can be delegated to the UAP?

The nurse is caring for a client with pyelonephritis. Which of the following actions can be assigned to the Unlicensed Assistive Personnel? Select all that apply.

The nurse is caring for a client with MRSA (Methicillin-resistant Staphylococcus aureus) in a right foot stage III pressure sore.  Which of the following actions can be delegated to an LVN/LPN?

The nurse is caring for a client in left-sided heart failure.  Which of the following actions can the RN delegate to the LVN/LPN?

Which of the following clients can the charge nurse assign to a new graduate RN?

The nurse is caring for a client who is taking thorazine (a phenothiazine) for schizophrenia.  The client develops neuroleptic malignant syndrome.  Which of the following actions can be delegated  to the LVN/LPN?

The nurse is caring for a client with Chronic Obstructive Pulmonary Disease who is taking Fluticasone and salmeterol (Advair).  Which of the following actions can the nurse delegate to the UAP?

The registered nurse is caring for a client with COPD. Which of the following actions can the RN delegate to the UAP (unlicensed assistive personnel)?

Which of the following clients can the RN delegate to the LVN/LPN?

The charge nurse is making assignments for the day shift.  Which of the following clients should the charge nurse assign to the LVN/LPN?

Specify by typing  an X which member of the nursing team can do the nursing task.  Each task may belong to the scope of practice of more than one team member.

The nursing team consists of a licensed practical nurse (LPN), an unlicensed assistive personnel (UAP), and a registered nurse.  Which of the following clients should the nurse assign to the LPN?