John Nurse Still Question & Answer Guide (With Explanation)

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What This Question Is About

This question relates to john nurse still and requires a structured academic response.

How to Approach This Question

Break the problem into smaller parts and analyze each logically.

Key Explanation

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Original Question

John is a new nurse, still in orientation with a preceptor, on the intermediate care unit. These patients are currently on the unit: 230—A 48-year-old admitted yesterday evening with an acute myocardial infarction; waiting for an angiogram 231—A 72-year-old patient with chronic congestive heart failure; taking multiple medications for blood pressure 232—A 51-year-old patient who had a coronary artery bypass graft 3 days ago; waiting for discharge 233—A 54-year-old patient in the ED with a medical diagnosis of uncontrolled atrial fibrillation; waiting for admitting orders John is caring for the patients under the supervision of Dana, his preceptor, who is also the day shift charge nurse. He has completed the first assessment and is looking at the medications for his patients. He notes multiple medications ordered for bed 231, new medications ordered for bed 230, and medication teaching needed for bed 232. As he makes the notations to himself, Dana gives him the abnormal lab values for the patients, with instructions to notify the attending physicians. She also reminds him of the admit waiting in ED. The nursing assistant points out that the patient in 232 is very impatient; he is waiting for his diet and medication instructions so that he can be discharged. At this point, John becomes frustrated trying to juggle all the demands on his time. 1. Identify the resources available to John regarding available personnel to whom he might delegate tasks. 2. Of those individuals identified as resources, which tasks could be delegated to each person? 3. Write at least one appropriate outcome for each patient and identify the right person to assist John in achieving the outcomes. Describe how John would evaluate the outcome. 4. Which of the patients can John delegate assessment to a licensed practical nurse? 5. When in doubt about delegating to other health care professionals, where would you find information about which actions you can delegate and to whom?

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