A charge nurse in an emergency department is assigning tasks. Which off the following tasks should the nurse delegate to an assistive personnel?
Transfer a client who has delirium from a bed to a wheelchair.
Inform a client who has schizophrenia about available community services.
Obtain a list of current medications from a client who is experiencing a manic episode.
Insert an NG tube for a client who has acetaminophen toxicity.
The Correct Answer is A
A. Transfer a client who has delirium from a bed to a wheelchair: Assisting with transfers and mobility is within the scope of practice for an AP, especially if the client is stable and the task does not require clinical decision-making.
B. Inform a client who has schizophrenia about available community services: This task requires clinical judgment and communication skills to ensure that the client understands the information and that the services are appropriate for their needs. It should be performed by a nurse, not an AP.
C. Obtain a list of current medications from a client who is experiencing a manic episode: While obtaining a medication list is an important task, it requires assessment and evaluation of the client's condition, which should be done by a nurse, especially when the client is in a manic state and may have impaired judgment or communication.
D. Insert an NG tube for a client who has acetaminophen toxicity: Inserting an NG tube is an invasive procedure that requires clinical knowledge and skill. It should be performed by a licensed nurse or physician, not an AP.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The nurse has witnessed the client's signature on the form: The nurse’s signature indicates they witnessed the client voluntarily sign the consent form. The nurse does not provide information but confirms that the client signed without coercion.
B. The nurse has assessed the client's knowledge of alternative treatments: Assessing the client’s knowledge of alternatives is typically the provider’s responsibility, not the nurse’s. The nurse’s role is to ensure that the client signed the form voluntarily.
C. The nurse has discussed the risks of ECT with the client: Discussing risks is the provider’s responsibility. The nurse’s role is to observe that the client is signing the form after receiving adequate explanation of risks from the provider.
D. The nurse has provided information about the benefits of ECT: Providing information on benefits is the provider’s role. The nurse can clarify any doubts, but the provider must explain the benefits of the treatment before consent is given.
Correct Answer is C
Explanation
A. Occupational therapy: Occupational therapy focuses on helping clients improve their ability to perform daily activities. While beneficial for individuals with Alzheimer's, it does not specifically address the partner’s need for temporary relief from caregiving duties.
B. Palliative care: Palliative care focuses on providing relief from symptoms and improving the quality of life for clients with serious illnesses. While appropriate for end-of-life care, it may not address the partner’s immediate need for respite from caregiving.
C. Respite care: Respite care provides temporary relief for caregivers by allowing them to take a break while ensuring their loved one continues to receive appropriate care. This is the most appropriate referral for the partner, who is seeking time for themselves.
D. Hospice care: Hospice care is focused on end-of-life care, offering comfort and support for clients with terminal illnesses. It is not the best option in this case, as the client is not necessarily at the end of life but has Alzheimer's disease, which is a progressive condition.
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