The LPN is assigning clients on a rehabilitation unit. Which of the following nursing actions should the LPN complete prior to assigning any delegated task?
A) Complete nursing report
B) Review physician notes
C) Assess the clients
D) Obtain feedback from the CNA
C
Feedback:
Assessing the client prior to delegation assures the right person, task, and circumstance. The licensed nurse should assess the appropriateness of assignment to meet the skills of the person being delegated to. Completing nursing report provides information about the client, which the assessment phase confirms. Reviewing physician notes provides updated information regarding medical orders. Obtaining feedback on the assignment from CNA provides information on skill level.
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A patient on long-term mechanical ventilation becomes very frustrated when he tries to communicate. Which of the following interventions should the nurse perform to assist the patient?
A) Assure the patient that everything will be all right and that he shouldn't become upset. B) Ask a family member to interpret what the patient is trying to communicate. C) Ask the physician to wean the patient off of the mechanical ventilator to allow the patient to talk. D) Ask the patient to write, use a picture board, or spell words with an alphabet board.
A 7-year-old child diagnosed with phonologic disorder is being seen in the health clinic. The nurse would expect this client to exhibit which of the following behaviors?
A) Lack of responsiveness B) Bullying-type behavior C) Hyperactivity D) Stuttering
The Agency for Healthcare Research and Quality (AHRQ) is noted for development of which of the following?
a. A use model for the implementation of research findings in the provision of health care b. An international panel of experts to determine the areas requiring research to improve health care c. Clinical practice guidelines to direct health care practices d. Integrative reviews of nursing research to be shared with other health care providers
The Joint Commission (TJC) requires that:
a. pain be assessed on all discharges. b. repeated assessment of pain be limited to those patients who complain of pain. c. repeated intensity documentation be made of the course of pain relief for all patients. d. pain be assessed on surgical patients.