정답이 있는 우선순위 설정과 위임 학습지

Which task is appropriate to delegate to a nursing assistant?

1. AAssessing a pressure injury on the sacrum
2. BGiving a stable patient their oral medications
3. CFeeding a stable patient who has no swallowing problems
4. DFeeding a patient with newly diagnosed dysphagia after a stroke

Which laboratory finding is expected in a patient with chronic kidney disease who receives dialysis?

1. AA raised serum creatinine
2. BA low serum creatinine
3. CA serum sodium of 160 mEq/L
4. DA platelet count of 900,000/mm³

Which task is appropriate to delegate to a nursing assistant for an immobile but stable patient?

1. ATurning and repositioning the patient every 2 hours
2. BPlanning the patient’s skin care
3. CDeciding whether a pressure injury has got worse since yesterday
4. DChoosing which wound dressing to use

A patient on a continuous IV heparin infusion has new black, tarry stools and an aPTT well above the target range. What should the nurse do first?

1. AOffer an iron-rich meal to replace the lost blood
2. BGive a dose of vitamin K by mouth
3. CStop the heparin infusion and inform the provider
4. DCheck the pump rate and leave the infusion running

A nurse teaches a patient about levothyroxine. Which statement shows a need for further teaching?

1. A“I will take it on an empty stomach with a glass of water.”
2. B“I will take it at the same time each morning.”
3. C“I will take it at breakfast with my calcium tablet.”
4. D“I will keep taking it even when I feel well.”

A nurse teaches a patient about storing insulin at home. Which statement shows a need for further teaching?

1. A“I will keep unopened insulin in the fridge.”
2. B“I will check the expiry date on the label before I use the vial.”
3. C“I will not leave my insulin in a hot car.”
4. D“I will keep my spare insulin in the freezer so it lasts longer.”

A team has an RN, an LPN/LVN and a nursing assistant. Which task is the best one to assign to the LPN/LVN?

1. AAssessing a patient who returned from surgery 30 minutes ago
2. BGiving a scheduled subcutaneous anticoagulant injection to a stable patient
3. CMeasuring the vital signs and weights of every patient on the unit before breakfast
4. DWriting the discharge teaching plan for a patient with new diabetes

Two patients on the unit have the same surname. What should the nurse do before giving a medication?

1. AAsk a nursing assistant which patient is which
2. BCheck two identifiers against the wristband and the medication record
3. CUse the room number as the main identifier
4. DAsk the patient, “Are you Mr Smith?” and give the drug once he says yes