1. It is always safe to narrow down answers to those that give vital signs to the UAP. The UAP can also measure output from a foley catheter. The UAP can also transport patients between departments. So to review a UAP can
Feed the client (observe the UAP feeding the client if there is any paralysis involved)
Take vital signs
Perform range of motion exercises
Perform routine grooming and hygiene
Measure output from the foley bag
Transport patients
2. The LPN can give medications, reinforce teaching and carry out ROUTINE care. The LPN cannot do anything invasive i.e IV insertion according to HESI and NCLEX! In review the LPN can do more than the UAP which includes the following
Give medication plus injections
Perform ROUTINE assessments (routine as in the hospital does this every so often without expecting to encounter problems because its just routine)dressing changes, catheter insertion and suctioning.
Can assist the physician during procedures if the RN has to leave
Cannot do anything in the nursing process
3. The RN must assess the patient, the RN must receive report about the patient and give report about a patient, the RN must perform patient teaching. Anything invasive and sterile is the job of the RN. The RN cannot delegate any of the above. So The RN cannot delegate
pre op assessment or post op assessment
Handling invasive line
Sterile technique
Patient education
Triage
Assessment, evaluation or monitoring
Planning, care plans, interventions or nursing diagnosis
4. To answer prioritization questions on the HESI, think about the following
• Time frames: if the patient is freshly post op, you must see that patient first.
• Stability:If the patient is unstable or in a potentially life threatening situation you must see that patient first. Unsable patient may men their vitals are off from their baseline so they need monitoring
• ABC: use airway breathing circulation, the patient with affected or potentially affected airway should be seen first
• Maslow: always pick physiological integrity before safety and mental issues
• Safety: if there is the possibility of the patient harming themselves or others see that patient first
• The discharge patient can be last because they are stable
• Always give the client who requires the least complex care to the new graduate nurse. Never give the new grad patients about to be discharged because they need teaching or patients newly diagnosed with a disease because they also need teaching
This article hopefully should help you answer questions on prioritization and delegation.There are lots of these questions on HESI so the more of them you get right the better for you!