A nurse who will be delegating some nursing tasks to other staff members has considered the client's health care status and stability of condition, the predictability of risks and responses, the setting where the care occurs, and the complexity of

the task being performed. Which of the four steps of the NCSBN Delegation Decision-Making Tree was used? a. assessment
b. communication and planning
c. surveillance and supervision
d. evaluation and feedback


C
Step Three: Surveillance and supervision in the NCSBN Delegation Decision-Making Tree is related to the nurse's responsibility for client care from a supervisory role. The nurse who operates in this stage considers client's health care status and stability of condition, predictability of risks and responses, setting where the care occurs, and complexity of the task being performed; determines the frequency of the supervision required; and is responsible for the timely intervention and follow-up based on problems and concerns (NCSBN, 1995).

Nursing

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Mr. Penny, age 67, was diagnosed with chronic angina several months ago and has been unable to experience adequate relief of his symptoms. As a result, his physician has prescribed ranolazine (Ranexa)

Which of the following statements is true regarding the use of ranolazine for the treatment of this patient's angina? A) Ranolazine confers protection from myocardial infarction but does not relieve symptoms of angina. B) Amlodipine will now be contraindicated in the treatment of Mr. Penny's angina. C) Mr. Penny will need to be taught to monitor his blood pressure and heart rate. D) Mr. Penny requires concurrent treatment with a beta blocker, nitrate, or a calcium channel blocker.

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Which statement indicates that the family has a good understanding of the changes in motor movement associated with Parkinson's disease?

A. "I can never tell what he's thinking—he hides behind a frozen face." B. "She drools all the time just so I can't take her out anywhere." C. "I think this disease makes him nervous—he perspires all the time." D. "I can offer smaller meals with bite-size portions and a liquid supplement."

Nursing

During the postoperative assessment of a client who had an appendectomy 36 hours ago, the nurse is unable to hear any bowel sounds. The client denies passing flatus. What action by the nurse is indicated?

1. Encourage the client to increase fluid intake to promote peristalsis 2. Encourage the client to increase solid food intake to promote peristalsis 3. Withhold food and fluid intake until intestinal motility has returned 4. Encourage the client to slow the amount of oral intake

Nursing

A nurse is caring for a patient who belongs to the Mormon faith. What would be the best breakfast for this patient?

A) Coffee, scrambled eggs, and sausage B) Tea, pancakes, and a grapefruit C) Coffee, oatmeal, sausage, and an English muffin D) Orange juice, French toast, and bacon

Nursing