A nursing student is helping the precepting

A nursing student is helping the precepting nurse work through a preoperative checklist for a patient with rheumatoid arthritis who is scheduled to have an arthrodesis. The student asks the nurse what an arthrodesis is so she can explain the procedure and the risks to the patient before having the permit signed. What is the best response by the nurse? “A student nurse is not allowed to teach a patient without a preceptor present. We can do it together.” “This surgery involves removing the affected joint and fusing the adjacent bones together.” “Don’t worry about it; the surgeon will explain the procedure and all the potential risks.” “We’ll discuss arthrodesis but the surgeon will explain the procedure and risks; we witness the patient’s signature.” The charge nurse on a medical surgical unit is making patient assignments for the day. The team for 10 patients includes 3 experienced staff members; RN, LPN/LVN, and an assistive personnel (AP). Which patients can be assigned to the LPN/LVN who will function under the supervision of an RN? Instructions: Place an X in the space provided or highlight each patient that can be assigned to an LPN/LVN who will function under the supervision of an RN or charge nurse. Select all that apply. ___ Patient underwent a toe amputation and has diabetic neuropathic pain. ___Patient has leg cast and needs neuro-circ checks and as needed hydrocodone. ___Patient with terminal cancer has severe pain but is refusing pain medication. ___Patient reports abdominal pain after being kicked, punched, and beaten. ___Patient with arthritis needs scheduled pain medications and heat applications. ___Patient needs preoperative teaching about pain management and chest tube. ___Patient transferred from long-term care for evaluation of change of mental status. ___Patient with hemiplegia needs oral antibiotics and a dressing change for pressure injury. ___Patient has dementia and was treated for pneumonia and is awaiting transfer back to a memory care unit. ___Patient with chronic renal failure needs teaching about dialysis and transplant. In order to maximize efficiency and safely accomplish care for a group of patients, the charge nurse must assign or delegate patient care interventions to the nursing staff. Available staff includes an RN, LPN/LVN, and an AP. All of these staff members are experienced and familiar with the routines of the unit. Instructions: For each intervention place an X in the box to indicate whether the action is best delegated or assigned to the RN, LPN, or AP. Intervention RN LPN/LVN AP Take vital signs every 4 hours or as directed Check color and temperature of fingers for a patient with a forearm cast Change linens for patients as needed Assist patients to ambulate in the hallway, as ordered by the HCP Report if any patient has pain or discomfort Assist older patient with weakness to turn every 2 hours Give preoperative teaching to a patient about patient-controlled analgesia pump and measures to prevent postoperative complications Assess for pain on a patient who has a kidney stone Assess relief of heat application for patient with lower back pain Perform admission assessment on a patient admitted for chest pain and shortness of breath Evaluate patient’s ability to independently perform colostomy care 4. A nurse is arrested for possession of illegal drugs. What kind of law governs this type of activity? Criminal Private Public Civil Which type of law regulates the practice of nursing? Common law Civil law Public law Criminal law A nurse does not assist with ambulation for a postoperative patient on the first day after surgery. The patient falls and fractures a hip. What charge might be brought against the nurse? Fraud Assault Battery Negligence Which statement is true regarding the Good Samaritan law? Select all that apply. Health care providers are required to stop and provide emergency care. The provider may not exceed scope of practice limits. Protection provided is generally limited to emergency situations A volunteer at a free clinic is covered by this law All care needs are considered an emergency when situations occur out-of-doors. What term is used to identify the type of law that covers most incidences of malpractice? Statutory law Administrative law Tort laws Legislative law SCIENCE HEALTH SCIENCE NURSING NURSING BS 4455

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