Deck 1: Essential Skills

Question 1

The nurse is reviewing tasks to delegate after receiving hand-off communication. Which procedure could the nurse safely delegate to the unlicensed assistive personnel (UAP)?

A) Making a nursing diagnosis
B) Assisting a client to a bedside commode
C) Performing assessments on client
D) Giving the client pain medication

Answer 1

B
Explanation:1. Tasks requiring advanced education such as assessment, interpretation of data, planning client care, or evaluating care are not delegated to the UAP. Formulating a nursing diagnosis is not a task that can be delegated to the UAP.
2. Assisting a client to a bedside commode is an activity that can be delegated to the UAP.
3. Tasks requiring advanced education such as assessment, interpretation of data, planning client care, or evaluating care are not delegated to the UAP. Assessment is not a task that can be delegated to the UAP.
4. Tasks requiring advanced education such as assessment, interpretation of data, planning client care, or evaluating care are not delegated to the UAP. Administering pain medication is not an activity that can be delegated to the UAP.

Question 2

The nurse assigns unlicensed assistive personnel (UAP) to complete client care tasks. Which statement indicates that the UAP understands the directions?
Select all that apply.

A) "I will bathe the client in room 402."
B) "I am done with the assigned tasks for Mr. Wells."
C) "I can give the medication for you."
D) "I will note all orders."
E) "I understand my assignment is to take and document the vital signs."

Answer 2

A, B, E
Explanation:1. Restating the task to the nurse indicates understanding and appropriate communication during delegation.
2. Telling the nurse that the assigned tasks are done indicates understanding and appropriate communication during delegation.
3. Medication administration cannot be delegated.
4. The UAP cannot note orders on the medical record. This activity must be done by the nurse.
5. Restating the task to the nurse indicates understanding and appropriate communication during delegation.

Question 3

The nurse is assisting the health care provider with a lumbar puncture. Which personal protective equipment should the nurse apply?

A) Sterile gloves, gown, and mask
B) Clean gloves, gown, and mask with eye shield or goggles
C) Sterile gloves, gown, and mask with eye shields or goggles
D) Clean gloves

Answer 3

D
Explanation:1. Because there is no risk of spray from a lumbar puncture, sterile gloves, gown, and mask are not needed.
2. Because there is no risk of spray from a lumbar puncture, a gown, mask with eye shield or goggles are not needed. Clean gloves are the only item required.
3. Because there is no risk of spray from a lumbar puncture, sterile gloves, a gown, mask with eye shield or goggles are not needed.
4. Because the role of the nurse is to support the client during the procedure, clean gloves should be worn.