Prioritization, Delegation, and Assignment - E-Book , livre ebook

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Prioritization,
Delegation, and
Assignment
Practice Exercises for the NCLEX®
Examination
THIRD EDITION
Linda A. LaCharity, PhD, RN
Formerly, Accelerated Program Director, Assistant Professor, College of Nursing, University
of Cincinnati, Cincinnati, Ohio
Candice K. Kumagai, RN, MSN
Formerly, Instructor in Clinical Nursing, School of Nursing, University of Texas at Austin,
Austin, Texas
Barbara Bartz, MN, ARNP, CCRN
Nursing Instructor, Yakima Valley Community College, Yakima, Washington
Ruth Hansten, RN, MBA, PhD, FACHE
Principal, Hansten Healthcare PLLC, Port Ludlow, WashingtonTable of Contents
Cover image
Title page
Evolve
Copyright
Preface
Contributor and reviewers
PART 1: INTRODUCTION
Guidelines for Prioritization, Delegation, and Assignment Decisions
Outcomes focus
Definition of terms
Assignment process
Delegation and assignment: The five rights
Practice based on research evidence
Principles for implementation of prioritization, delegation, and assignment
PART 2: PRIORITIZATION, DELEGATION, AND ASSIGNMENT IN COMMON
HEALTH SCENARIOS
Chapter 1: Pain
Chapter 2: Cancer
Chapter 3: Immunologic problemsChapter 4: Fluid, electrolyte, and acid-base balance problems
Chapter 5: Safety and infection control
Chapter 6: Respiratory problems
Chapter 7: Cardiovascular problems
Chapter 8: Hematologic problems
Chapter 9: Neurologic problems
Chapter 10: Visual and auditory problems
Chapter 11: Musculoskeletal problems
Chapter 12: Gastrointestinal and nutritional problems
Chapter 13: Diabetes mellitus
Chapter 14: Other endocrine problems
Chapter 15: Integumentary problems
Chapter 16: Renal and urinary problems
Chapter 17: Reproductive problems
Chapter 18: Problems in pregnancy and childbearing
Chapter 19: Pediatric problems
Chapter 20: Emergencies and disasters
Chapter 21: Psychiatric–mental health problems
PART 3: PRIORITIZATION, DELEGATION, AND ASSIGNMENT IN COMPLEX
HEALTH SCENARIOS
CASE STUDY 1: Chest pressure, indigestion, nausea, and vomitingCASE STUDY 2: Dyspnea and shortness of breath
CASE STUDY 3: Multiple clients on a medical-surgical unit
CASE STUDY 4: Shortness of breath, edema, and decreased urine output
CASE STUDY 5: Diabetic ketoacidosis
CASE STUDY 6: Home health
CASE STUDY 7: Spinal cord injury
CASE STUDY 8: Multiple patients with adrenal gland disorders
CASE STUDY 9: Multiple clients with gastrointestinal problems
CASE STUDY 10: Multiple patients with pain
CASE STUDY 11: Multiple clients with cancer
CASE STUDY 12: Gastrointestinal bleeding
CASE STUDY 13: Head and leg trauma and shock
CASE STUDY 14: Septic shock
CASE STUDY 15: Heart failure
CASE STUDY 16: Multiple patients with peripheral vascular disease
CASE STUDY 17: Respiratory difficulty after surgery
CASE STUDY 18: Long-term care
CASE STUDY 19: Multiple pediatric clients in a clinic setting
CASE STUDY 20: Multiple patients with mental health disorders
CASE STUDY 21: Childbearing
Answer keyChapter 1: Pain, pages 11-14
Answer key
Chapter 2: Cancer, pages 15-18
Answer key
Chapter 3: Immunologic problems, pages 19-22
Answer key
Chapter 4: Fluid, electrolyte, and acid-base balance problems, pages 23-26
Answer key
Chapter 5: Safety and infection control, pages 27-30
Answer key
Chapter 6: Respiratory problems, pages 31-34
Answer key
Chapter 7: Cardiovascular problems, pages 35-40
Answer key
Chapter 8: Hematologic problems, pages 41-44
Answer key
Chapter 9: Neurologic problems, pages 45-48
Answer key
Chapter 10: Visual and auditory problems, pages 49-52
Answer key
Chapter 11: Musculoskeletal problems, pages 53-56
Answer key
Chapter 12: Gastrointestinal and nutritional problems, pages 57-60
Answer keyChapter 13: Diabetes mellitus, pages 61-64
Answer key
Chapter 14: Other endocrine problems, pages 65-68
Answer key
Chapter 15: Integumentary problems, pages 69-72
Answer key
Chapter 16: Renal and urinary problems, pages 73-76
Answer key
Chapter 17: Reproductive problems, pages 77-80
Answer key
Chapter 18: Problems in pregnancy and childbearing, pages 81-84
Answer key
Chapter 19: Pediatric problems, pages 85-90
Answer key
Chapter 20: Emergencies and disasters, pages 91-94
Answer key
Chapter 21: Psychiatric–mental health problems, pages 95-98
Answer key
Chapter 1: Chest pressure, indigestion, nausea, and vomiting, pages 99-100
Answer key
Chapter 2: Dyspnea and shortness of breath, pages 101-102
Answer key
Chapter 3: Multiple clients on a medical-surgical unit, pages 103-104
Answer keyChapter 4: Shortness of breath, edema, and decreased urine output, pages
105106
Answer key
Chapter 5: Diabetic ketoacidosis, pages 107-108
Answer key
Chapter 6: Home health, pages 109-112
Answer key
Chapter 7: Spinal cord injury, pages 113-114
Answer key
Chapter 8: Multiple patients with adrenal gland disorders, pages 115-116
Answer key
Chapter 9: Multiple clients with gastrointestinal problems, pages 117-120
Answer key
Chapter 10: Multiple patients with pain, pages 121-124
Answer key
Chapter 11: Multiple clients with cancer, pages 125-128
Answer key
Chapter 12: Gastrointestinal bleeding, pages 129-130
Answer key
Chapter 13: Head and leg trauma and shock, pages 131-134
Answer key
Chapter 14: Septic shock, pages 135-138
Answer key
Chapter 15: Heart failure, pages 139-142Answer key
Chapter 16: Multiple patients with peripheral vascular disease, pages, 143-144
Answer key
Chapter 17: Respiratory difficulty after surgery, pages 145-148
Answer key
Chapter 18: Long-term care, pages 149-152
Answer key
Chapter 19: Multiple pediatric clients in a clinic setting, pages 153-156
Answer key
Chapter 20: Multiple patients with mental health disorders, pages 157-162
Answer key
Chapter 21: Childbearing, pages 163-166
Answer key
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PRIORITIZATION, DELEGATION, AND ASSIGNMENT: PRACTICE EXERCISES FOR
®THE NCLEX EXAMINATION, THIRD EDITION ISBN: 978-0-323-11343-4
Copyright © 2014 by Mosby, an imprint of Elsevier Inc.
Copyright © 2011, 2006 by Mosby, Inc., an affiliate of Elsevier Inc.
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Library of Congress Cataloging-in-Publication Data
LaCharity, Linda A., author.
 Prioritization, delegation, and assignment : practice exercises for the NCLEX
examination / Linda A. LaCharity, Candice K. Kumagai, Barbara Bartz ; with an
introduction by Ruth Hansten.—Third edition.
  p. ; cm.
 Includes biographical references.
 ISBN 978-0-323-11343-4 (pbk.)
 I. Kumagai, Candice K., author. II. Bartz, Barbara, author. III. Title.
 [DNLM: 1. Nursing Care—organization & administration—Case Reports. 2. Nursing
Care—organization & administration—Examination Questions. 3. Decision Making—
Case Reports. 4. Decision Making—Examination Questions. 5. Delegation,
Professional—Case Reports. 6. Delegation, Professional—Examination Questions. 7.
Nurse’s Role—Case Reports. 8. Nurse’s Role—Examination Questions. WY18.2]
 RT55
 610.73076—dc23
2013024837
NANDA-I nursing diagnoses from Herdman, T.H. (Ed.) Nursing Diagnoses
--Definitions and Classification 2012-2014. Copyright © 2012, 1994-2012 NANDA
International. Used by arrangement with John Wiley & Sons Limited. In order to
make safe and effective judgments using NANDA-I nursing diagnoses it is essentia