Nursing Acceleration Challenge Exam I PN-RN Coordinated Care and Delegation Flashcards
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Read the first 7 Nursing Acceleration Challenge Exam I PN-RN Coordinated Care and Delegation flashcards as text
A charge nurse is reviewing assignments. Which task is MOST appropriate to delegate to an unlicensed assistive personnel (UAP)?
Answer: Ambulating a stable post-op patient on day 2
Ambulating a stable post-operative patient is within the UAP's scope as it does not require assessment or clinical judgment.
A PN is coordinating care for a patient being discharged to a skilled nursing facility. Which action is the PN's priority?
Answer: Ensuring transfer documentation and medication reconciliation are complete
Complete and accurate transfer documentation and medication reconciliation are essential to ensure continuity and patient safety during transitions of care.
When using SBAR for a handoff report, what information is included in the 'Background' component?
Answer: Relevant medical history, admitting diagnosis, and pertinent lab values
The Background section of SBAR includes the patient's relevant medical history, diagnosis, and pertinent clinical data that provide context for the current situation.
A UAP reports that a patient who was ambulating independently yesterday now refuses to get out of bed and seems confused. What is the PN's best response?
Answer: Immediately assess the patient, as this change may indicate a new clinical problem
A sudden change in cognition or functional status may signal an acute clinical deterioration such as infection or delirium, requiring immediate nursing assessment.
Which principle BEST describes the nurse's legal accountability when delegating a task to a UAP?
Answer: The nurse retains accountability for appropriate delegation and must supervise outcomes
Delegation transfers the task but not the nurse's accountability; the delegating nurse remains responsible for appropriate delegation and oversight.
A PN is caring for four patients. Which patient should the PN assess FIRST?
Answer: A patient with COPD whose oxygen saturation dropped from 94% to 88%
A drop in oxygen saturation in a COPD patient represents a potentially life-threatening change in respiratory status and requires immediate assessment.
An interprofessional care conference is scheduled for a patient with complex needs. What is the PN's primary role in this conference?
Answer: To provide bedside nursing observations and advocate for the patient's expressed needs
The PN contributes direct bedside observations and serves as a patient advocate within the interprofessional team, ensuring the patient's preferences are heard.