Finding a client sitting on the floor, nurse calls for help from UAP

Get a BP cuff

Assigning a UAP to assist client with personal care

Prescribed activity level

The ICU is full and short staffed, so nursing super informs charge nurse in the med dept that one nurse

must float to the ICU

Staff nurse who was cross-trained to work in the critical care dept

Charge nurse developing guidelines for a coronary care unit

The scope of standards of practice from the American nurses association

Which patient should be assigned to a nurse that is floated from maternity unit

Post op hysterectomy

There has been a major disaster. Triage nurse should give which patient priority

Cut over eye

Delegate to LPN

Dressing change

Move which patient to medical surgical unit

Patient with ABNL liver levels

One open bed in ICU but reserved for patient coming from PACU with respiratory problems, what to do

Take patient to ICU and arrange for respiratory patient to stay in PACU

UAP giving complete bath-which patient is more concern

Patient with dyspnea (SOB when lying flat)

ER nurse getting moved to L&D, what patient should leader assign

Patient with episiotomy infection

DNR

Notify the family

Against medical Advice (AMA)with and IV

RN removes IV, sign the document AMA form

Prescriptions-telephone

repeat order back to doctor to make sure it is correct

Assign UAP

hygiene, feeding, ADLS, ROM, ambulation