The registered nurse (RN) is gathering supplies to assist a healthcare provider with a bedside thoracentesis when the emergency department (ED) use as to report on a client with unstable angina that must be admitted immediately. A practical nurse (PN) and unlicensed assistive personnel (UAP) as the RN. How should the RN assign the necessary nursing actions?
Assign the PN to go to the ED to obtain report and transport the client while the UAP prepares the room and the RN assists with the thoracentesis.
Assign the UAP to prepare the room while the PN obtains report on the new admission and the RN assists with the thoracentesis.
Assign the UAP to assist with the thoracentesis while the PN goes to the ED to transport the client to the unit and the RN obtains report from the ED use
Assign the PN to assist with the thoracentesis while the nurse obtains report and the UAP prepares the room for the new admission
Correct Answer : D
- Choice A Rationale: This choice is not optimal because the PN has the skills necessary to assist with the thoracentesis, a procedure that requires clinical judgment and skill, which the UAP does not possess. The RN is also needed to obtain the report from the ED due to the complexity of unstable angina, which requires advanced knowledge and assessment skills.
- Choice B Rationale: This option incorrectly assigns the UAP to prepare the room, which is within their scope, but fails to utilize the PN's skills effectively. The PN should be involved in more complex tasks such as assisting with procedures or obtaining detailed reports, rather than the UAP.
- Choice C Rationale: This choice is inappropriate because it assigns the UAP to assist with the thoracentesis, a task they are not trained for and is outside their scope of practice. The RN should be involved in the more complex care of obtaining the report, and the PN should assist with the thoracentesis.
- Choice D Rationale: This is the correct choice because it utilizes all staff members according to their scope of practice and skills. The PN assists with the thoracentesis, a task they are qualified for, the RN obtains the report on the new admission, which requires advanced knowledge, and the UAP prepares the room, a task that fits their role.
- Choice E Rationale: As there is no Choice E provided in the question, no rationale can be given for this option. It is important to follow the instructions and options given in the scenario to provide accurate and relevant information.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"B"}
Explanation
Choice A rationale: Maintaining personal malpractice insurance is important for individual protection but does not directly address preventing litigation related to client dissatisfaction.
Choice B rationale: Discussing how to handle complaints from clients and/or their families is an important objective to include in the orientation classes for staff nurses, because it can help prevent litigation by a dissatisfied client.
Choice C rationale: Completing an adverse occurrence or variance report is a necessary step after an error or incident has occurred, but it does not prevent litigation by itself.
Choice D rationale: Describing how to obtain legal services, while valuable, is a reactive rather than proactive approach to preventing litigation.
Correct Answer is B
Explanation
Choice A rationale: Determining which foods aggravate the client's symptoms is beyond the scope of the UAP and should be addressed by licensed healthcare providers. Choice B rationale: Elevating the head of the bed before the client begins to eat helps prevent reflux in clients with hiatal hernia, and it's a task that can be delegated to the UAP.
Choice C rationale: Teaching the client about the need to eat small, frequent meals is a nursing responsibility and should be performed by a licensed nurse.
Choice D rationale: Assessing the client for heartburn or a feeling of fullness after eating is a nursing responsibility and requires a licensed nurse's judgment.
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