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Prioritization, Delegation, and Assignment - E-Book: Practice Excercises for the NCLEX Exam PDF

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Prioritization, Delegation, and Assignment Practice Exercises for the NCLEX® Examination FOURTH EDITION Linda A. LaCharity, PhD, RN Formerly, Accelerated Program Director, Assistant Professor, College of Nursing, University of Cincinnati, Cincinnati, Ohio Candice K. Kumagai, MSN, RN Formerly, Instructor in Clinical Nursing, School of Nursing, University of Texas at Austin, Austin, Texas Barbara Bartz, MN, ARNP Formerly, Nursing Instructor, Yakima Valley Community College, Yakima, Washington With an introduction by Ruth Hansten, PhD, MBA, BSN, RN, FACHE Principal, Hansten Healthcare PLLC, Santa Rosa, California Table of Contents Cover image Title page Copyright Contributors and Reviewers Preface To faculty and other users To students Acknowledgments Part 1: Introduction Introduction 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 Questions Answer Key Chapter 2: Cancer Questions Answer Key Chapter 3: Immunologic Problems Questions Answer Key Chapter 4: Fluid, Electrolyte, and Acid-Base Balance Problems Questions Answer Key Chapter 5: Safety and Infection Control Questions Answer Key Chapter 6: Respiratory Problems Questions Answer Key Chapter 7: Cardiovascular Problems Questions Answer Key Chapter 8: Hematologic Problems Questions Answer Key Chapter 9: Neurologic Problems Questions Answer Key Chapter 10: Visual and Auditory Problems Questions Answer Key Chapter 11: Musculoskeletal Problems Questions Answer Key Chapter 12: Gastrointestinal and Nutritional Problems Questions Answer Key Chapter 13: Diabetes Mellitus Questions Answer Key Chapter 14: Other Endocrine Problems Questions Answer Key Chapter 15: Integumentary Problems Questions Answer Key Chapter 16: Renal and Urinary Problems Questions Answer Key Chapter 17: Reproductive Problems Questions Answer Key Chapter 18: Problems in Pregnancy and Childbearing Questions Answer Key Chapter 19: Pediatric Problems Questions Answer Key Chapter 20: Pharmacology Questions Answer Key Chapter 21: Emergencies and Disasters Questions Answer Key Chapter 22: Psychiatric–Mental Health Problems Questions Answer Key Part 3: Prioritization, Delegation, and Assignment in Complex Health Scenarios Case study 1: Chest Pressure, Indigestion, and Nausea Questions Answer Key Case study 2: Dyspnea and Shortness of Breath Questions Answer Key Case study 3: Multiple Clients on a Medical-Surgical Unit Questions Answer Key Case study 4: Shortness of Breath, Edema, and Decreased Urine Output Questions Answer Key Case study 5: Diabetic Ketoacidosis Questions Answer Key Case study 6: Home Health Questions Answer Key Case study 7: Spinal Cord Injury Questions Answer Key Case study 8: Multiple Patients With Adrenal Gland Disorders Questions Answer Key Case study 9: Multiple Clients With Gastrointestinal Problems Questions Answer Key Case study 10: Multiple Patients With Pain Questions Answer Key Case study 11: Multiple Clients With Cancer Questions Answer Key Case study 12: Gastrointestinal Bleeding Questions Answer Key Case study 13: Head and Leg Trauma and Shock Questions Answer Key Case study 14: Septic Shock Questions Answer Key Case study 15: Heart Failure Questions Answer Key Case study 16: Multiple Patients With Peripheral Vascular Disease Questions Answer Key Case study 17: Respiratory Difficulty After Surgery Questions Answer Key Case study 18: Long-Term Care Questions Answer Key Case study 19: Pediatric Clients in Clinic and Acute Care Settings Questions Answer Key Case study 20: Multiple Patients With Mental Health Disorders Questions Answer Key Case study 21: Childbearing Questions Answer Key Illustration Credits Chapter 1 Chapter 2 Chapter 7 Chapter 10 Chapter 11 Chapter 12 Chapter 13 Chapter 14 Chapter 15 Chapter 19 Chapter 21 Case Study 5 Case Study 13 Case Study 14 Copyright 3251 Riverport Lane St. Louis, Missouri 63043 PRIORITIZATION, DELEGATION, AND ASSIGNMENT: PRACTICE EXERCISES FOR THE NCLEX® EXAMINATION, FOURTH EDITION ISBN: 978-0-32349828-9 Copyright © 2019, Elsevier Inc. All rights reserved. Previous editions copyrighted 2014, 2011, and 2006. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the Publisher’s permissions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions. This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein). Notices Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds or experiments described herein. Because of rapid advances in the medical sciences, in particular, independent verification of diagnoses and drug dosages should be made. To the fullest extent of the law, no responsibility is assumed by Elsevier, authors, editors or contributors for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein. Library of Congress Cataloging-in-Publication Data Names: LaCharity, Linda A., author. | Kumagai, Candice K., author. | Bartz, Barbara, author. Title: Prioritization, delegation, and assignment : practice exercises for the NCLEX examination / Linda A. LaCharity, Candice K. Kumagai, Barbara Bartz ; with an introduction by Ruth Hansten. Description: 4th edition. | St. Louis, Missouri : Elsevier Inc., [2019] | Includes bibliographical references. Identifiers: LCCN 2017052329 (print) | LCCN 2017053241 (ebook) | ISBN 9780323498272 (Ebook) | ISBN 9780323498289 (pbk. : alk. paper) Subjects: | MESH: Nursing Care--organization & administration | Delegation, Professional | Nurse's Role | Decision Making | Examination Questions | Case Reports Classification: LCC RT55 (ebook) | LCC RT55 (print) | NLM WY 18.2 | DDC 610.73076--dc23 LC record available at https://lccn.loc.gov/2017052329 Executive Content Strategist: Lee Henderson Content Development Manager: Lisa Newton Associate Content Development Specialist: Laurel Shea Publishing Services Manager: Deepthi Unni Project Manager: Manchu Mohan Design Direction: Margaret Reid Printed in China Last digit is the print number: 9 8 7 6 5 4 3 2 1 Contributors and Reviewers CONTRIBUTORS Martha Barry, MS, APN, RN, CNM Certified Nurse Midwife OB Faculty Practice Advocate Medical Group Chicago, Illinois Adjunct Clinical Instructor College of Nursing University of Illinois at Chicago Chicago, Illinois Mary Tedesco-Schneck, PhD Assistant Professor School of Nursing University of Maine Orono, Maine NURSING FACULTY REVIEWERS Sophia Beydoun, MSN, RN Nursing Instructor Health Sciences Division Henry Ford College Dearborn, Michigan Diane Lynn Cooper-McLean, MSN, BSN, RN Department of Allied Health Nursing Faulkner State Community College Bay Minette, Alabama Laura M. Dechant, MSN, APRN, CCRN, CCNS-BC Clinical Nurse Specialist Department of Heart, Vascular, and Interventional Services Christiana Care Health System Newark, Delaware Kathleen Sanders Jordan, DNP, MS, FNP-BC, ENP-BC, SANE-P Clinical Assistant Professor School of Nursing The University of North Carolina at Charlotte Nurse Practitioner Emergency Department Mid-Atlantic Medicine Associates Charlotte, North Carolina Kari Ksar, MS, RN, CPNP Pediatric Nurse Practitioner Division of Pediatric Gastroenterology, Hepatology, and Nutrition Lucile Packard Children’s Hospital at Stanford Palo Alto, California Judi Kuric, DNP, ACNP-BC, ACNPC, CNRN, SCRN Assistant Professor Department of Nursing University of Southern Indiana Acute Care Nurse Practitioner Kentuckiana Neurosurgery Evansville, Indiana Martha E. Langhorne, MSN, RN, FNP, AOCN Nurse Practitioner Department of Gastroenterology Binghamton Gastroenterology, United Health Services Hospitals Binghamton, New York Casey L. Norris, MSN, RN, PCNS- BC Clinical Assistant Professor Department of Nursing The University of

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