The primary cardiac nurse is delegating tasks to the unlicensed assistive personnel (UAP). Which delegation task warrants intervention by the charge nurse of the unit? a. The UAP is instructed to bathe the client who is on telemetry b. The UAP is requested to obtain a beside glucometer reading c. The UAP is asked to assist with a portable chest x-ray d. The UAP is told to feed a client who is dysphagic Correct Answer D The unlicensed assistive personnel (UAP) tells the nurse the client is complaining of chest pain. Which task should the nurse delegate to the UAP? a. Call the healthcare provider (HCP) and report the client's chest pain b. Give a client some acetaminophen (Tylenol) while the nurse checks the client c. Get the client's medical records and brings them to the client's room d. Notify the client's family of the onset of chest pain Correct Answer C The registered nurse (RN) and licensed practical nurse (LPN) are caring for a group of clients on a cardiac unit. Which nursing task should not be assigned to the LPN? a. Feed the client who has an IVV in both forearms b. Assess the client diagnosed with stage IV heart failure c. Discharge the client who had a cardiac catheterization d. Administer the intravenous piggyback (IVPB) antibiotic ceftriaxone (Rocephin) Correct Answer B The hospice nurse is discussing the clients' care with the unlicensed assistive personnel (UAP). Which statement contains the best information about caring for a client with endstage heart failure who is dying? a. "Perform as much care for the client as possible to conserve his or her strength" b. "Do not get too attached to the client because it will hurt when he or she dies" c. "Be careful not to promise to withhold healthcare information from the team" d. "The client may want to talk about his or her life, but you should discourage that" Correct Answer C The client on telemetry is showing ventricular tachycardia. Which action should the telemetry nurse delegate to the unlicensed assistive personnel (UAP)? a. Have the UAP call the operator and announce the code b. Tell the UAP to answer the other call lights on the unit c. Send the UAP to the room to start rescue breaths d. Ask the family to step out of the room during the code Correct Answer B The male client presents to the emergency department with a complaint of chest pain but does not have the ability to pay for the services. Which action should the emergency department nurse implement first? a. Place the client on a telemetry monitor and assess the client b. Call an ambulance to transfer the client to a charity hospital c. Have the client sign a form agreeing to pay the bill d. Ask the client why he chose to come to this hospital Correct Answer A The female client tells the charge nurse the unlicensed assistive personnel (UAP) did not know how to take her blood pressure. Which action should the charge nurse implement first? a. Discuss the client's comment with the UAP b. Retake the BP and inform the client of her BP reading c. Explain that the UAP knows how to take a BP reading d. Ask the UAP to demonstrate taking a BP reading Correct Answer B The client diagnosed with an abdominal aortic aneurysm died unexpectedly, and the nurse must notify the significant other. Which statement made by the nurse is the best over the telephone? a. "I am sorry to tell you, but your loved one has died" b. "Could you come to the hospital? The client is not doing well" c. "The HCP has asked me to tell you of your family member's death" d. "Do you know whether the client wished to be an organ donor?" Correct Answer B The nurse and the unlicensed assistive personnel (UAP) are caring for clients on a vascular unit. Which task should the nurse delegate to the UAP? a. Apply bilateral sequential compression devices to the client with deep vein thrombosis b. Accompany the client with thromboangiitis obliterans outside to smoke a cigarette c. Elevate the leg of the client who is one day postoperative femoral-popliteal by pass d. Perform Doppler studies on the client with right upper extremity lymphedema Correct Answer C The unlicensed assistive personnel (UAP) tells the clinic nurse that the male client in Room 1 is "rally breathing hard and can't seem to catch his breath." Which instruction should the nurse give to the UAP? a. Put 4 ml of oxygen on the client b. Sit the client upright in a chair c. Go with the nurse to the client's room d. Take the client's vital signs Correct Answer C 5 rights of delegation (People Can Do Tasks Sometimes) Correct Answer 1. Right task 2. Right circumstance 3. Right person 4. Right direction/communication 5. Right supervision/evaluation TEACUP- do not share/delegate to CNA or LPN Correct Answer Teaching Evaluation Assessment Collaboration Unstable Patients Planning