Instructions: For this assignment, you are a registered nurse (RN)…
Instructions:
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For this assignment, you are a registered nurse (RN) on a medical-surgical unit. The charge nurse assigns you five (5) patients for your shift. Using critical thinking, nursing judgement and the five rights of delegation, you must complete the following tasks using your Assigned Patient List Download Assigned Patient List:
Task 1: After reviewing each scenario, determine the priority nursing action and cite your reference. Each answer can be found in the readings assigned in this module. Each response must be cited using APA 7th edition making sure to include the page number(s).
Task 2: Determine what reaction your patient is experiencing and what other symptoms the patient may exhibit or complain of.
Task 3: Using the National Board of State Nursing and American Nurses Association National Guidelines for Nursing Delegation Download National Board of State Nursing and American Nurses Association National Guidelines for Nursing Delegationdelegate to the LPN (Licensed Practical Nurse) or UAP (Unlicensed Assistive Personnel) an action that would be appropriate to assist the RN in responding to the transfusion reaction. Make sure you clearly state who you would delegate to (LPN or UAP). If there is not an appropriate action for either team member to delegate, state n/a.
Assigned Patient List:
1: 75 y.o. male client admitted with anemia is undergoing transfusion of 1 unit of PRBCs. He is experiencing a dry cough during his blood transfusion.
Priority nursing action:__________________________________________________________________
Reference: ____________________________________________________________________________
What is going on? ______________________________________________________________________
What other symptoms might you see? _____________________________________________________
Delegated task: ________________________________________________________________________
2: 39 y.o. two-week postpartum female admitted with cesarian section complications is receiving 2 units of PRBCs and is experiencing hives and complaining of her throat itching.
Priority nursing action:__________________________________________________________________
Reference: ____________________________________________________________________________
What is going on? ______________________________________________________________________
What other symptoms might you see? _____________________________________________________
Delegated task: ________________________________________________________________________
3: 28 y.o. female with history of heavy menstrual bleeding is admitted for anemia. 1 unit of PRBCs is being infused and upon assessment has a fever of 104F.
Priority nursing action:__________________________________________________________________
Reference: ____________________________________________________________________________
What is going on? ______________________________________________________________________
What other symptoms might you see? _____________________________________________________
Delegated task: ________________________________________________________________________
4: 47 y.o. male patient diagnosed with testicular cancer and undergoing chemotherapy is admitted for anemia. During his transfusion, he complains of abdominal pain.
Priority nursing action:__________________________________________________________________
Reference: ____________________________________________________________________________
What is going on? ______________________________________________________________________
What other symptoms might you see? _____________________________________________________
Delegated task: ________________________________________________________________________
5: 63 y.o. female patient with uterine cancer is undergoing a transfusion. She is complaining of low back pain. Priority nursing action:__________________________________________________________________
Reference: ____________________________________________________________________________
What is going on? ______________________________________________________________________
What other symptoms might you see? _____________________________________________________
Delegated task: ______________________
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