- the RN performs nursing process, including assessment. Choices A and D are for the CNA; choice B is for the LVN
32) A
- a client should not be grasped under the arm to pull him/her up in bed. This is to prevent injury in the axillary area and shoulder joints. Therefore, the situation needs intervention by the RN.33) A
- giving information to the physician is appropriate nursing action. The RN is responsible for the LVN's actions.34) B
- when delegating tasks, the RN should give concrete, specific, and clear directions. The RN should also explain the expected outcome of the task/action.35) C
- the best source of information the nurse can refer to regarding which tasks are appropriate for which level of personnel in the Nurse Practice Act in the State the nurse is practicing.36) A
- when injecting heparin subcutaneously, massaging the site should be avoided to prevent hematoma formation. Therefore, choice A needs intervention by the nurse.37) B
- the LVN/LPN is allowed to do the task of suctioning tracheostomy. Clients with unstable condition should be assigned to the RN.38) C
- the nurse should perform admission assessment. The RN should not delegate performing nursing process to the LVN/LPN.39) A
- only tasks can be delegated by the RN, not accountability.40) C
- turning the anti-embolism stockings inside out facilitates its application on the leg of the client.Related Topics:
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