What does the RN need to remember when delegating to unlicensed assistive personnel (NAP)?
A) Can safely assume that the employee has at least a high school diploma as a minimum hiring criterion
B) Should be aware that all unlicensed assistive personnel have achieved at least minimum standardized training pursuant to the Omnibus Budget Reconciliation Act of 1987
C) Should be aware that no federal or community standards have been established for training the broad classification of NAP
D) Is protected from liability if the RN allows the NAP to perform only those tasks the employee states he or she is capable of completing independently
C
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The adult dose of a drug is 125 mg. The dose for a child whose BSA is 0.16 m2 is _______________
a. 11.8 mg b. 20 mg c. 2.8 mg d. 3.4 mg
A nurse who is talking to a patient when he begins choking on his lunch and coughing forcefully should:
A) Stand him up and perform the abdominal thrust maneuver from behind. B) Lay him down, straddle him, and perform the abdominal thrust maneuver. C) Leave him to get assistance. D) Stay with him but not intervene at this time.
The patient with peripheral vascular disease and diabetes asks what he can do to help prevent an amputation. The nurse is quick to respond:
1. "There is really not anything you can do to help." 2. "Stopping smoking would help prevent vasoconstriction." 3. "You will not need to check your blood glucose levels." 4. "It is important to eat big meals so your body can heal."
A pregnant client with premature rupture of membranes is at higher risk for postpartum infection. Which assessment data indicate a potential infection?
a. Fetal heart rate, 150 beats/min b. Maternal temperature, 99° F c. Cloudy amniotic fluid, with strong odor d. Lowered maternal pulse and decreased respiratory rates