Question

I posted this before, but i'd like rationales so that i can really understand. Thank you for the help!

It is 0715. You are the RN for a group of patients and you have an experienced LPN working with you today. Additionally, there is a nursing assistant assigned to your team and another nurse's team. The following 7 patients require your care. Using the guidelines in chapter 17 answer each of the following questions and provide rationales for each choice. 1. Which patients you will see and in which order? 2. Which patients you will assign to the LPN and in which order will you instruct the LPN to see those patients? 3. Which tasks for each patient will you delegate to the UAP? • AB is a 98-year-old male admitted with heart failure exacerbation 2 days ago. In report he was listed as A/A/O x4 but is now yelling out that he is in the bathroom and needs to go back to bed. • CD is a 22-year-old male patient admitted last night in DKA. He is now off his continuous insulin infusion and asking for breakfast. • EF is a 56-year-old female day 2 post-op from a radical mastectomy. Her husband is at the desk and requesting pain meds for his wife stating "she's never been in this much pain before." • GH is a 32-year-old female awaiting laparoscopic cholecystectomy who is receiving her cefazolin IVPB. She pushes the call light and asks for diphenhydramine, IJ is a 62-year-old male 2 days post op a right hip replacement who was also newly diagnosed as a type two diabetic. He has orders for a discharge and is just waiting for the nurse to get him out of here." KL is a 48-year-old female on call at 0730 for a right above the knee amputation. She needs her pre-op meds and you find that her surgical consent form is missing. MN is a 71-year-old male 1 day post op from a colon resection. The surgeon is on the floor asking for assistance with a first-time dressing change.

The "guideline" are just the basic skills of what LPNs, RNs, and UAPs can perform within there license.

Answer 1

1.The patient who has to be sent to OT in next 15 minutes to be addressed first and the formality to be completed. This can be done by LPN

The patient who is in need of mobilization from bathroom can be assisted by a UAP to make the patient comfortable and stop his yelling sound

mastectomy pain syndrome often experienced by mastectomy patients who needs support and education on it .This is to be done by UAP in edicating the patient

The UAP can assist the patient in feeding then

The surgeon can be assisted for dressing

The LPN has to check with the pre-op cholecystectomy patient and help to relieve her symptoms

The discharge summary has to be explained by a LPN

2.LPN

• Has to do preoperative preparation and then send the patient to OT
• Help the preop-cholecystectomy patient because IV cephalexin can lead to nausea and other symptoms make patient to request for medication
• Explain the discharge summary to the patient

3.UAP

• First mobilize the patient from bathroom and make him comfortable
• Feed the patient
• Assist in dressing
• Educate the post mastectomy patient