36: A nurse is delegating care for a group of four clients. Which of the following tasks should the nurse delegate to an assistive person?
Irrigate and perform a dressing change for a client who has a pressure injury wound.
Obtain a daily weight on a client who has heart failure.
Teach the use of an incentive spirometer to a postoperative client.
Administer oral PRN pain medication to a client who has arthritis.
The Correct Answer is B
A. Irrigate and perform a dressing change for a client who has a pressure injury wound: This task requires specialized knowledge and skill, particularly in wound care management. It involves assessing the wound, choosing appropriate dressings, and monitoring for signs of infection, which are beyond the scope of duties for assistive personnel.
B. Obtain a daily weight on a client who has heart failure: This task is suitable for delegation to an assistive person because it is a routine, non-invasive procedure that does not require clinical judgment or assessment. It helps in monitoring the client's condition, especially in heart failure management.
C. Teach the use of an incentive spirometer to a postoperative client: Teaching involves educating the client on the proper technique and benefits of using the device, which requires nursing judgment and the ability to address questions or concerns. This task should be performed by a nurse.
D. Administer oral PRN pain medication to a client who has arthritis: Administering medications involves evaluating the client’s pain level, assessing potential side effects, and ensuring the correct medication is given, which requires a nurse’s clinical judgment and knowledge.
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Related Questions
Correct Answer is B
Explanation
A. Administer medication for high blood pressure: This is a dependent intervention as it requires a healthcare provider's order and is part of prescribed treatment.
B. Reposition the client every 2 hours: This is an independent nursing intervention, as it involves routine care that nurses can perform without needing a specific provider's order.
C. Starting IV antibiotics: This is a dependent intervention that requires a healthcare provider’s order and typically involves more specialized procedures.
D. Administering medication for pain: This is also a dependent intervention because it requires a healthcare provider's prescription and direction for administration.
Correct Answer is B
Explanation
A. The goal of palliative care is to prolong the life of a client: The primary goal of palliative care is to improve the quality of life by alleviating symptoms and providing support, rather than specifically prolonging life.
B. Palliative care is not restricted to clients who are terminally ill: Palliative care can be provided to any client with a serious illness, regardless of the stage of their condition. It focuses on comfort and quality of life rather than just end-of-life care.
C. Palliative care should be avoided for a client who is receiving a cure: Palliative care is not mutually exclusive with curative treatment. It can be provided alongside curative therapies to manage symptoms and improve the client’s quality of life.
D. Palliative care is limited to clients who are in a health care facility: Palliative care can be provided in various settings, including at home, in outpatient clinics, and in healthcare facilities. It is not restricted to any particular location.
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