Podcast
Questions and Answers
Which of the following are conditions that must be met for nurse delegation? (Select all that apply)
Which of the following are conditions that must be met for nurse delegation? (Select all that apply)
- Any task can be delegated
- Delegation covers a specific task for one client (correct)
- Only qualified nursing assistants/Home care aides can accept a delegation (correct)
- A licensed registered nurse transfers performance (correct)
What are the settings in which delegation can occur? (Select all that apply)
What are the settings in which delegation can occur? (Select all that apply)
- Certified community residential programs (correct)
- In client's home (correct)
- Licensed assisted living facilities (correct)
- Private residences
Which of the following tasks cannot be delegated? (Select all that apply)
Which of the following tasks cannot be delegated? (Select all that apply)
- Routine patient observation
- Sterile procedures (correct)
- Maintenance of central lines (correct)
- Injections other than insulin (correct)
Insulin injections are a delegated task.
Insulin injections are a delegated task.
What are two primary actions a nursing assistant is responsible for in delegation?
What are two primary actions a nursing assistant is responsible for in delegation?
What should you do if your supervisor asks you to take on a delegated task that is outside their authority?
What should you do if your supervisor asks you to take on a delegated task that is outside their authority?
In which body system do pneumonia and chronic obstructive pulmonary disease occur?
In which body system do pneumonia and chronic obstructive pulmonary disease occur?
In which body system do congestive heart failure, hypertension, and stroke occur?
In which body system do congestive heart failure, hypertension, and stroke occur?
What is the barrier against bacteria and moisture called?
What is the barrier against bacteria and moisture called?
What coordinates body functions and monitors changes in the environment?
What coordinates body functions and monitors changes in the environment?
What gives the body information about the world around it?
What gives the body information about the world around it?
Which system moves blood to deliver oxygen and remove carbon dioxide?
Which system moves blood to deliver oxygen and remove carbon dioxide?
What system produces hormones that regulate body activities?
What system produces hormones that regulate body activities?
What system provides a framework for the body and protects internal organs?
What system provides a framework for the body and protects internal organs?
What gets rid of waste products through urine and regulates the chemical balance in the blood?
What gets rid of waste products through urine and regulates the chemical balance in the blood?
What manages the transfer of oxygen from the air to the blood?
What manages the transfer of oxygen from the air to the blood?
What changes food into usable substances for the body?
What changes food into usable substances for the body?
What is one effect of aging on the skin?
What is one effect of aging on the skin?
In which body system do urinary tract infections and urinary incontinence occur?
In which body system do urinary tract infections and urinary incontinence occur?
What are the primary parts of the gastrointestinal system?
What are the primary parts of the gastrointestinal system?
In which body system do pressure injuries occur?
In which body system do pressure injuries occur?
Sweat glands belong to which system?
Sweat glands belong to which system?
The pancreas belongs to which systems?
The pancreas belongs to which systems?
What is a medication side effect?
What is a medication side effect?
What are three routes of medical administration? (Select all that apply)
What are three routes of medical administration? (Select all that apply)
Which of the following are types of medications? (Select all that apply)
Which of the following are types of medications? (Select all that apply)
What is a medication interaction?
What is a medication interaction?
Which of the following are examples of medication side effects? (Select all that apply)
Which of the following are examples of medication side effects? (Select all that apply)
What should you do for Carl Green if his wife asks you to crush his medications?
What should you do for Carl Green if his wife asks you to crush his medications?
What should you do if a client refuses their medication?
What should you do if a client refuses their medication?
What are five steps to follow when administering medications?
What are five steps to follow when administering medications?
What are the Five Rights of Medication Administration?
What are the Five Rights of Medication Administration?
What are requirements to become qualified to receive a delegation? (Select all that apply)
What are requirements to become qualified to receive a delegation? (Select all that apply)
Maintenance of a central line can be delegated to a nursing assistant.
Maintenance of a central line can be delegated to a nursing assistant.
A licensed practical nurse (LPN) can delegate tasks to a nursing assistant.
A licensed practical nurse (LPN) can delegate tasks to a nursing assistant.
What is one responsibility of a delegating RN?
What is one responsibility of a delegating RN?
What are two responsibilities of a home care aide when receiving a delegation?
What are two responsibilities of a home care aide when receiving a delegation?
What should you do if you are unable to perform a delegated task?
What should you do if you are unable to perform a delegated task?
Which of the following are considered developmental disabilities? (Select all that apply)
Which of the following are considered developmental disabilities? (Select all that apply)
Which of the following are body systems described in this lesson? (Select all that apply)
Which of the following are body systems described in this lesson? (Select all that apply)
What body system is colitis associated with?
What body system is colitis associated with?
What body system is urinary incontinence associated with?
What body system is urinary incontinence associated with?
What body system is asthma associated with?
What body system is asthma associated with?
What body system is hypothyroidism associated with?
What body system is hypothyroidism associated with?
What body system is arthritis associated with?
What body system is arthritis associated with?
What body system is cataracts associated with?
What body system is cataracts associated with?
What body system is Alzheimer's associated with?
What body system is Alzheimer's associated with?
What body system is hypertension associated with?
What body system is hypertension associated with?
What body system is pressure injuries associated with?
What body system is pressure injuries associated with?
Diabetes Mellitus affects which body system?
Diabetes Mellitus affects which body system?
What is a medication?
What is a medication?
_____ drugs are drugs that can only be sold or given out with a prescription.
_____ drugs are drugs that can only be sold or given out with a prescription.
What is a scheduled medication?
What is a scheduled medication?
What are three factors that can affect a medication's action?
What are three factors that can affect a medication's action?
________ are unintended effects of medications on the body that are not part of the goal of medication therapy.
________ are unintended effects of medications on the body that are not part of the goal of medication therapy.
A _______ ________ occurs when the administration of one medication alters the effect of another.
A _______ ________ occurs when the administration of one medication alters the effect of another.
When you have been delegated oral medication administration, you are allowed to put the pill in the client's mouth.
When you have been delegated oral medication administration, you are allowed to put the pill in the client's mouth.
A route of medication administration is the way the medication is given.
A route of medication administration is the way the medication is given.
What is the method for taking medication that involves being swallowed?
What is the method for taking medication that involves being swallowed?
What is the method for medication administration that involves piercing the skin?
What is the method for medication administration that involves piercing the skin?
What is the method of administering medication that involves being sprayed or inhaled?
What is the method of administering medication that involves being sprayed or inhaled?
What is the method of medication administration that involves inserting into the rectum?
What is the method of medication administration that involves inserting into the rectum?
What is the method of medication administration that involves placement under the tongue?
What is the method of medication administration that involves placement under the tongue?
What is the method of applying medication directly to the skin or mucous membrane?
What is the method of applying medication directly to the skin or mucous membrane?
What is the method of administering medication that involves insertion into the vagina?
What is the method of administering medication that involves insertion into the vagina?
What are two things that should always be on a medication label?
What are two things that should always be on a medication label?
What is the correct order of five steps in the medication administration process?
What is the correct order of five steps in the medication administration process?
What are two important rights that clients have regarding medication administration?
What are two important rights that clients have regarding medication administration?
Refrigerated medication storage should be separated from what?
Refrigerated medication storage should be separated from what?
Glucometer testing measures the _____ in a person's blood.
Glucometer testing measures the _____ in a person's blood.
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Study Notes
Nurse Delegation and Tasks
- Five conditions for nurse delegation include: transferring a specific task for one client by a licensed RN, qualifications of nursing assistants for acceptance, and delegation limited to specific common environments.
- Delegation can occur in certified community residential programs, licensed adult family homes, licensed assisted living facilities, and clients' homes.
- Four tasks that cannot be delegated are maintenance of central lines, injections (except insulin), sterile procedures, and tasks requiring nursing judgment.
Medication Administration
- Insulin injections are considered a delegated task.
- Nursing assistants should report new or changed medications and follow specific instructions from the delegating RN.
- Eye drop administration is a delegated task, but any additional medication changes require RN delegation.
- Medication administration includes five steps: evaluate the client, prepare the medication, administer the medication, document the administration, and observe the effects.
Rights and Responsibilities
- The Five Rights of Medication Administration are: Right Client, Right Medication, Right Dose, Right Route, and Right Time.
- Clients have the right to refuse medication and privacy during administration.
- Delegating RN responsibilities include obtaining written consent for delegation.
Health Systems and Disorders
- Common health systems include:
- Respiratory: Disorders include pneumonia, asthma, and COPD.
- Cardiovascular: Includes congestive heart failure, hypertension, and stroke.
- Integumentary: Involves skin integrity issues like pressure injuries and stasis ulcers.
- Gastrointestinal: Processes food and waste; includes disorders such as colitis.
- Aging effects on skin include thinning, paleness, poor temperature regulation, and nail changes like brittleness.
Medication Concepts
- Side effects are unintended responses differing from therapeutic effects, with examples like drowsiness and upset stomach.
- Medication interactions occur when multiple medications alter the efficacy of one another.
- Routes of medication administration include oral, injection, inhalation, sublingual, topical, vaginal, and rectal.
- Legend drugs require a prescription, while non-legend drugs do not.
Important Qualifications for Delegation
- Qualifications for receiving a delegation include completing educational requirements, demonstrating competence, and being designated as HCA, NA-R, or NA-C in Washington.
Client Care and Reporting
- If unable to perform a delegated task, promptly notify the delegating RN and your employer.
- In cases of medication refusal or adverse reactions, gather client information and report to the delegating RN while documenting the incident.
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