A nurse is delegating care of patients to the nursing assistant personnel (NAP) and a licensed practical nurse (LPN). Which situation indicates the nurse needs more instruction on delegation?
a. LPN to change a sterile dressing
b. NAP to provide skin care
c. NAP to insert an indwelling catheter
d. LPN to administer an enema
C
The question indicates the nurse made an incorrect delegation assignment. An NAP cannot insert indwelling catheter, an LPN or RN can do that skill. Noninvasive and frequently repetitive in-terventions such as skin care, ambulation, grooming, and hygiene measures are examples of ac-tivities that you assign to NAP such as certified nurse assistants. Licensed practical nurses per-form these measures in addition to medication administration and many invasive tasks (e.g., dressing care and catheterization). It is appropriate for an RN to delegate, a sterile dressing change and enema to an LPN. It is appropriate for an RN to delegate skin care to an NAP.
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a. Five b. Eleven c. Twenty five d. Thirty nine
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Which of the following positions maximizes the nurse's ability to assess the client's upper body for symmetry?
a. Sitting b. Supine c. Prone d. Dorsal recumbent