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You are the team leader on a busy monitored medical surgical unit. The team consists of you 

(the RN), an LPN, and an NAP who graduated from her program 2 months ago. The six patients are:

Mrs. Boyle, age 46, who has unstable angina and is scheduled for a cardiac catheterization with possible stent implant tomorrow; 

Mr. Liu, a 42-year-old with chest pain admitted 4 hours ago; 

Mr. Pedro, an 80-year-old admitted 5 days ago with a right hemiplegia; 

Mrs. Kornblau, 75 years old, admitted this morning with a long history of CAD, dementia, and presently suffering from CHF; 

Mr. Alexander, 99 years old, admitted via ambulance from a skilled nursing facility last night with a diagnosis of altered LOC (he has had no urine output for the last 8 hours, his temperature is 102°F, and he has a sacral decubitus 1 cm × 1.2 cm); and 

Mr. Lawrence, a 42-year-old who has bilateral wheezing and a history of asthma, admitted with an aminophylline drip via the emergency department. He is stable at this time. 

Use the delegation tree to make your decisions.

Explain why you chose them.

Which patients should you assess first?
Which patients may be assigned to the LPN? 
Which patients may be assigned to the NAP/UAP? 
What are your responsibilities in supervising the LPN and NAP/UAP?
SCIENCE
HEALTH SCIENCE
NURSING

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