A charge nurse in the newborn nursery is delegating tasks to an assistive personnel (AP). Which of the following is an appropriate task for the AP?
Show a new mother how to change the newborn's diaper.
Inspect the skin of a newborn who is receiving phototherapy.
Obtain the weight of a newborn who is receiving formula.
Answer the parents' questions about newborn circumcision.
The Correct Answer is C
Rationale:
A. Teaching a new mother how to change a diaper involves client education, which is the nurse’s responsibility, not the AP’s.
B. Inspecting the skin of a newborn receiving phototherapy requires assessment, which cannot be delegated to an AP.
C. Obtaining the weight of a newborn is a routine, stable task that does not require nursing judgment, making it appropriate to delegate to an AP.
D. Answering parents’ questions about newborn circumcision requires teaching and reinforcing medical information, which is the nurse’s role.
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Related Questions
Correct Answer is D
Explanation
Rationale:
A. Personal beliefs about family relationships are subjective and not necessary for a change-of-shift or transfer report.
B. Detailed wound care procedures belong in the medical record or care plan, not in the transfer report.
C. A client’s bathing preference is relevant to daily care but not essential for continuity of care during transfer.
D. The time of the last pain medication is critical information for continuity of care and client safety, ensuring the next care team can manage pain effectively and avoid overdosing.
Correct Answer is A
Explanation
Rationale:
A. In emergency situations where the client is unable to provide informed consent (disoriented) and there is a life-threatening condition (cardiac arrhythmia), treatment should proceed under the principle of implied consent to save life or prevent serious harm.
B. Contacting next of kin may cause a delay in critical treatment and is not required in emergencies.
C. Notifying risk management is unnecessary and would delay care.
D. The client is disoriented and unable to legally sign consent, so this option is not appropriate.
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