Effective delegation involves which of the following?
1.
Clear identification of the delegated task
2.
Accurate documentation
3.
The ability to reward positive behavior of a staff member
4.
The assignment of a specific number of in-service education hours
ANS: 1
The delegated task must be clearly identified before work can be assigned.
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After assessing an older adult client with a burn wound, the nurse documents the findings as follows:
Vital Signs Laboratory Results Wound Assessment Heart rate: 110 beats/min Blood pressure: 112/68 mm Hg Respiratory rate: 20 breaths/min Oxygen saturation: 94% Pain: 3/10 Red blood cell count: 5,000,000/mm3 White blood cell count: 10,000/mm3 Platelet count: 200,000/mm3 Left chest burn wound, 3 cm × 2.5 cm × 0.5 cm, wound bed pale, surrounding tissues with edema present Based on the documented data, which action should the nurse take next? a. Assess the client's skin for signs of adequate perfusion. b. Calculate intake and output ratio for the last 24 hours. c. Prepare to obtain blood and wound cultures. d. Place the client in an isolation room.
The administrators of the hospital where a licensed practical nurse works have recently announced a plan to transition from paper-based medical records to electronic health records (HER)
Many members of the care team support this transition but many remain skeptical. Which of the following criticisms of EHR is most valid? A) "They need to consider the fact that it can be incredibly expensive to change to an EHR." B) "An EHR is certainly high-tech, but it comes at a high price of decreased patient safety." C) "There's no doubt that an EHR is innovative, but there really aren't any benefits beyond that." D) "A lot of people are predicting that the government might soon make laws to limit the transitions to an EHR."
Which of the following is the most characteristic symptom of otosclerosis?
A) The client being distressed in the mornings B) A progressive, bilateral loss of hearing C) A red and swollen ear drum D) The client describing a history of having had a recent upper respiratory infection
A nurse who is discharging a client is terminating the helping relationship. Which of the following actions might the nurse perform in this phase? Select all that apply
A) Making formal introductions B) Making a contract regarding the relationship C) Providing assistance to achieve goals D) Helping client perform activities of daily living E) Examining goals of the relationship to determine their achievement