The care of a client is assigned to a newly-graduated RN. What actions can the newly-graduated RN delegate to the unlicensed assistive personnel (UAP)? [SELECT ALL THAT APPLY]

Providing oral care every 3 to 4 hours.

Help the client change position every 2 hours.

Administering 0.45% saline by IV line.

Record urine output when client voids.

Monitoring for indications of dehydration.

Assessing daily weights for trends.

Answer and Explanation

Correct Answer : A,B,D

A.   This task is appropriate for UAP to perform, as it involves basic hygiene and does not require nursing judgment or clinical assessment. UAP can assist with routine oral care under the direction of the RN.
B.   Assisting with position changes is a basic care activity that UAP can perform. This task helps prevent pressure ulcers and maintains client comfort, and it does not require the clinical judgment of a nurse.
C.   Administering IV medications or fluids is a nursing task that requires specific training and knowledge of nursing assessments, potential complications, and monitoring. This task should only be performed by a licensed nurse, not by UAP.
D.   UAP can document basic measurements such as urine output, as this is a straightforward task that does not require clinical judgment. However, the RN should ensure that the UAP understands how to accurately measure and record this information.
E.   While UAP can observe and report general changes, monitoring for clinical indications of dehydration requires nursing assessment skills and judgment. This task should be performed by an RN.
F.   While UAP can weigh clients, the assessment of weight trends requires clinical judgment and interpretation of data, which falls under the responsibilities of a licensed nurse. The RN should evaluate and interpret the data regarding the client's health status.

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Correct Answer is B

Explanation

A. Battery refers to the intentional and unlawful physical contact with another person without their consent. In this scenario, the nurse did not intend to harm the patient; the action was accidental. Therefore, battery would not apply here.
B. Malpractice is a type of negligence that occurs when a healthcare professional fails to provide the standard of care that a reasonably competent nurse would provide in similar circumstances. Administering the wrong medication is a breach of duty, and if this mistake leads to harm (like an allergic reaction), the nurse can be held liable for malpractice.
C. Abuse generally refers to intentional harm or mistreatment of a patient, often involving physical or emotional harm. Since the nurse's actions were accidental and not intended to cause harm, this would not constitute abuse.
D. Assault involves the threat or attempt to cause physical harm to another person, creating a fear of imminent harm. Since the nurse did not intend to threaten or harm the patient, and the incident was not a threat, this does not fit the definition of assault.

A. "A client address would be an example of personally identifiable information" B. "HIPPA is a federal law, not a state law." C. "Information about a client can be disclosed to family members at any time." D. "HIPPA established regulations of individually identifiable health information in verbal, electronic, or written form"

Correct Answer is C

Explanation

A. A client's address is indeed considered personally identifiable information (PII) under HIPAA, which protects an individual's health information that can be used to identify them.
B. This statement is true. HIPAA is a federal law that sets standards for the protection of health information. However, state laws can provide additional protections but cannot be less stringent than HIPAA.
C. This statement indicates a need for further teaching. Under HIPAA, health information can only be disclosed to family members if the client has given consent or if it is in the best interest of the client (such as in emergencies). Without patient authorization, healthcare providers cannot disclose information freely.
D. This statement is accurate. HIPAA indeed regulates how individually identifiable health information is managed and protected, regardless of the format in which it is stored or communicated (verbal, electronic, or written).

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The care of a client is assigned to a newly-graduated RN. What actions can the newly-graduated RN delegate to the unlicensed assistive personnel (UAP)? [SELECT ALL THAT APPLY]

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse accidentally administers the wrong medication to a client, which results in a severe allergic reaction and prolongs the client's hospitalization. The client could rightfully sue the nurse for which of the following?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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