Question

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. • J 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.

Answer 1

#. Order of patients is given according to the priority of need and based upon the roles and responsibilities of the nurses based upon there license and experience .

Patients to be seen by RN :-

- EF is a 56 years old female 2 days post op from a radical mastectomy . Her husband is at the desk and requesting pain meds for his wife stating'she is never been in this much pain before '.

- KL is a 48 old female on call at 0730 for a right above knee amputation . She needs her pre op meds and you find that her surgical consent form is missing .

- AB is a 98year old male admitted with heart failure exacerbation 2days ago. In report he was listed as A/A/O× 4 but is now yelling out that he is in the bathroom and needs to go back to the bed .

2. The patients to be assigned to LPN according to sequence :-

- 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 .

- MN is a 71 year old male 1day post op from a colon resection . The surgeon is on the floor asking for assistance with a first time dressing change .

- IJ is a 62 year old male 2days 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 .

3. Task to be delegated to UAP :-

- CD is a 22year old male admitted last night with DKA . He is now off his continuous insulin infusion and asking for breakfast .