After Reading Yoost Question & Answer Guide (With Explanation)
Understanding this question requires applying core subject principles.
What This Question Is About
This question relates to after reading yoost and requires a structured academic response.
How to Approach This Question
Break the problem into smaller parts and analyze each logically.
Key Explanation
This topic involves after reading yoost. A strong answer should include explanation, application, and examples.
Original Question
After reading Yoost and Crawford, Fundamentals of Nursing, Chapter 12: Leadership and Management, consider the following scenario: You are the registered nurse (RN) is assigned to care for six patients. Working with the nurse is a licensed practical nurse (LPN) and an unlicensed assistive personnel (UAP). The nurse reviews the list of patients: • Mr. Solomon is a 76-year-old male with chronic obstructive pulmonary disease (COPD) and Alzheimer dementia who was admitted with increasing shortness of breath. He has been living at home with his wife but recently has been having increasing episodes of confusion and disorientation to self, place, and time. He is unable to communicate his level of pain or discomfort. His vital signs at 0400 were T 37.2° C (99° F), P 102 and regular, R 24 and labored, BP 134/86, with a pulse oximetry reading of 88% on 2 L of oxygen by nasal cannula. • Mrs. Jarvis is a 45-year-old female on postoperative day 1 after an abdominal hysterectomy. She has a Foley catheter and an intravenous (IV) line. Overnight, she received morphine twice for pain rated as 8 of 10. She has the original abdominal dressing in place. She was afebrile overnight, and other vital signs were within normal limits. • Mrs. Kimball is a 92-year-old female with urosepsis who was admitted from home 3 days earlier. She is on IV antibiotics every 8 hours. She is awaiting placement at a local nursing home. She rates her pain at 0 of 10 consistently and is alert and oriented. She needs assistance with ambulation and meal setup. She was afebrile overnight, and vital signs were stable. • Mr. Lowe is a 29-year-old male admitted 2 days earlier after a motorcycle accident. He was wearing a helmet. His cervical spine x-rays were normal. He is alert and oriented. He had an open fracture of the radius, which was surgically set. An external fixator is in place. He is ambulatory but requires assistance of one person when moving from the bed to a standing position. He has a saline lock in place and receives IV antibiotics twice each day. At 0600, he received oral medication one time for pain rated 6 of 10. His vital signs overnight were reported as afebrile and stable. • Mr. Fox is an 88-year-old, nonambulatory male admitted from a nursing home 2 days earlier and diagnosed with stage IV lung cancer. His code status is a do-not-resuscitate (DNR) order. He is on oxygen and is having Cheyne-Stokes respirations. He responds only to painful stimuli. The local hospice organization is working with the family. • Ms. Tomcik is a 22-year-old female admitted from a group home yesterday with pneumonia. She has a history of Down syndrome but has no history of major medical problems. She is receiving respiratory treatments q 4 hr and IV fluids and IV antibiotics q 4 hr. She is not complaining of pain, but she needs to be encouraged to use her incentive spirometer often. She has an order for ambulation twice each shift. Night shift reports vitals at 0400 as T 38.3° C (101° F), P 72 and regular, R 22 and labored, with a pulse oximetry reading of 98% on room air. 1. Which patients in the case study should the registered nurse (RN) consider as priorities in terms of assessment and care? What are the reasons? 2. Which tasks cannot be delegated to the UAP? Why? 3. What tasks are appropriate to delegate to the unlicensed assistive personnel (UAP) at the start of the shift? Why? 4. What tasks are appropriate to delegate to the LPN/LVN? Why? 5. What information should the nurse include for the UAP when delegating the tasks? Be specific. Respond to other posts with insightful comments. In your responses, consider: After reading your peers’ answers to the questions, are they similar or different than your responses? If so, please describe. How can you as a nurse be a leader in promoting safe patient outcomes? In direct patient care? In delegating patient care? In collaborating with health care team members? Grading and Feedback Be sure to fully answer the questions posed in this discussion board. Initial posts and responses should be detailed and concise. You need to cite a professional reference to earn full points!
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