Delegation on NCLEX??

Kazza, MSN, RN · Jul 7, 2011

What I can recommend is getting the LaCharity P/D/A book, that has detail information of what each role is able to do.

Liyah24_RN · Jul 7, 2011

Also does the LaCharity book help with questions like this "The nurse Is at a nurse conference which of the clients would take priority of discussion? I received alot of questions like thats and all the answers were like huh? would this be consider a ABC question? what would throw me off was saying the nurse was at some conference not at the hostpital and one of the answer option was something bout a kid with kawasaki disease going to school and there were other options can't remember but those type of questions confused me. Im hoping the lacharity book helps me with this.

Kazza, MSN, RN · Jul 7, 2011

Yes, LaCharity book has every type of scenario possible, and will aid in understanding who you will see first, and which assignment you would give to LPN/LVN or Nursing Assistant, experience versus inexperience.

Kawasaki disease is inflammation of the blood vessels, which mostly affect young males.

Liyah24_RN · Jul 7, 2011

Thank you Kazza I hope this book helps me The sad thing I don't even know if I got those type of questions wrong or right. Do you know what I can get for basic care cause I know for sure that was my weakness, or should I just practice alot of basic care questions?

Kazza, MSN, RN · Jul 7, 2011

Is this Aaliyah?

Liyah24_RN · Jul 7, 2011

Yes its me lol

Double-Helix, BSN, RN · Jul 7, 2011

Hey, so I am trying to figure out exactly what LPNs and nursing assistants can do on the NCLEX. What can LPNs do regarding NG tubes? Can they not give any IV meds? Can nursing assistants do enteral feeding? Which situations can a nursing assistant not do feeding etc. for a patient? I know that LPNs can care for stable patients, they can do dressing changes and PO/subq/IM meds but I get confused about what procedures etc. they can do.
If anyone has a list of the specific things LPNs and nursing assistants can do (in NCLEX world), that would be so helpful!

Since the roles of CNAs and LVNs varies by state, the NCLEX will only gives answer choices that apply to all states. Don't assume that the LVN has any special qualifications.

CNA: basic care tasks- vital signs, ADLs (bathing, toileting, dressing, feeding, etc) I&O and in some places, blood glucose levels.

LVN: Basic care tasks + Basic procedures- dressing changes, tube feeding, medication administration (except IV), etc. LVNs CANNOT do patient assessments. You don't want to assign them to a patient needing frequent monitoring or a new admission. Think stable patients for LVNs

RN: ALL of the above + complex procedures- accessing central lines, IV medications, blood draws and IV starts, patient assessments.

Kazza, MSN, RN · Jul 7, 2011

Yes its me lol

Ok, listen to Auntie Kay (lol).........All you need is what I sent you, your Saunders Comprehensive and your LaCharity..........relax

The answers are in those books and the videos. Give me 8 weeks of just those materials, and I guarantee, you will start to see an improvement. Once you view the videos after the first viewing, I promise, the light switch will come on. You should have the mail tomorrow or Saturday.

If you do not notice a difference in a couple of weeks, we can work on another plan together. This is providing you are willing to put the work in.

When are you taking the test again?

Kay

Liyah24_RN · Jul 7, 2011

Okay I will listen Auntie ^_^. Do you think I need to buy exam cram? Also did you read the whole saunder's book and Lacharity book? Im on chapter 9 now with saunders. I want to take my test Aug 30th but I don't know if that date will be filled up by the time I get my ATT. Thank you for all of your help.

Kazza, MSN, RN · Jul 7, 2011

No, you do not need to buy anymore material. When you get the stuff I sent you, what you do is start with the first one. If you do not understand F&E, find it in your Saunders and brush up on it, and proceed like that.

What I am gonna show you is how to condense what you are doing, you are reviewing like I did in the past, which is too broad, you need a more streamline approach.

Ok, Aug 30th is realistic. Lets see how well we do once you get the mail, then we will proceed from there.

Dont forget what they say about opinions, they are like a$$holes, everybody has one, you have to decipher what is relevant for you, and toss the rest. One thing I am gonna need from you, and that is to be positive..........I know it is hard, but try not to stress, we got this..........now lets get it poppin'

xxryu139xx · Jul 7, 2011

Since the roles of CNAs and LVNs varies by state, the NCLEX will only gives answer choices that apply to all states. Don't assume that the LVN has any special qualifications.
CNA: basic care tasks- vital signs, ADLs (bathing, toileting, dressing, feeding, etc) I&O and in some places, blood glucose levels.
LVN: Basic care tasks + Basic procedures- dressing changes, tube feeding, medication administration (except IV), etc. LVNs CANNOT do patient assessments. You don't want to assign them to a patient needing frequent monitoring or a new admission. Think stable patients for LVNs
RN: ALL of the above + complex procedures- accessing central lines, IV medications, blood draws and IV starts, patient assessments.

don't forget RNs are the only ones allowed to do health teachings / discharge instructions