A nurse has several tasks to delegate to assistive personnel (AP). Which of the following tasks should the nurse ask the AP to perform first?

Obtain a routine urine sample from a newly-admitted client.

Pass fresh water to clients on the unit.

Transport a client to the radiology department for an x-ray.

Take an arterial blood gas (ABG) specimen to the laboratory.

Answer and Explanation

The Correct Answer is D

Choice A reason: Obtaining a routine urine sample from a newly-admitted client is an important task for the nurse to delegate to assistive personnel (AP). While this is essential for assessing the client's baseline health status and planning further care, it is not as urgent as taking an arterial blood gas specimen to the laboratory, which is time-sensitive.

Choice B reason: Passing fresh water to clients on the unit is an essential routine task to ensure clients stay hydrated. However, this task does not have the same level of urgency compared to taking an arterial blood gas specimen to the laboratory. This can be done after more critical tasks are completed.

Choice C reason: Transporting a client to the radiology department for an x-ray is a necessary step in diagnostic imaging, but it does not carry the same level of urgency as taking an arterial blood gas specimen to the laboratory. Arterial blood gas results are critical for evaluating and managing a client's respiratory and metabolic status.

Choice D reason: Taking an arterial blood gas (ABG) specimen to the laboratory is a top priority because the results are time-sensitive and crucial for the immediate assessment and management of a client's respiratory and metabolic function. Delaying this task could impact the timely diagnosis and treatment of potentially serious conditions, making it the most urgent task to delegate first.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["A","B","C","D","E"]

Explanation

Choice A reason: Informing the client when the procedure or treatment will be done is crucial for obtaining informed consent. This information helps the client understand the timeline and schedule for the procedure, which is essential for their planning and mental preparation. Knowing the exact date and time also allows the client to arrange for any necessary assistance or support they might need before and after the procedure.

Choice B reason: The purpose of the proposed treatment or procedure must be clearly explained to the client. This information helps the client understand why the procedure is necessary and what it aims to achieve. Providing a clear rationale for the treatment ensures that the client is fully aware of the medical reasons behind the procedure, which is a fundamental aspect of informed consent.

Choice C reason: The expected outcomes of the proposed treatment or procedure should be discussed with the client. This includes both the potential benefits and the goals of the treatment. By understanding the expected outcomes, the client can make an informed decision about whether to proceed with the procedure, weighing the potential benefits against the risks and alternatives.

Choice D reason: Identifying who will perform the treatment or procedure is an essential component of informed consent. The client has the right to know the qualifications and expertise of the healthcare professional who will be performing the procedure. This information helps build trust and ensures the client feels confident in the care they will receive.

Choice E reason: An explanation of the possible risks from the treatment or procedure is necessary for obtaining informed consent. Clients must be fully informed about the potential risks and complications associated with the procedure so that they can make an educated decision about whether to proceed. This transparency is critical for respecting the client's autonomy and ensuring they are fully aware of all aspects of their care.

A. Assist the visitor to the emergency department B. Take the visitor's blood pressure C. Encourage the visitor to lie down to see if the symptoms improve D. Advise the visitor to call their primary care provider

Correct Answer is A

Explanation

Choice A reason: The sudden onset of a headache and numbness on one side of the body are potential signs of a stroke or other serious medical conditions. The most appropriate response is to assist the visitor to the emergency department for immediate evaluation and treatment. Time is critical in such scenarios, and prompt medical attention can significantly impact the outcome.

Choice B reason: While taking the visitor's blood pressure might provide some information, it is not sufficient to assess the severity of the symptoms. This action alone could delay necessary urgent care.

Choice C reason: Encouraging the visitor to lie down and see if the symptoms improve is not appropriate because it does not address the potential seriousness of the symptoms. Delaying medical evaluation could worsen the visitor's condition.

Choice D reason: Advising the visitor to call their primary care provider is not appropriate in this urgent situation. Immediate evaluation in the emergency department is necessary to rule out serious conditions like a stroke.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse has several tasks to delegate to assistive personnel (AP). Which of the following tasks should the nurse ask the AP to perform first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client being prepared for a left total knee replacement surgery. The nurse is witnessing the surgeon obtain informed consent before the procedure. Which essential components must be present to obtain informed consent? (Select all that apply)

Correct Answer is ["A","B","C","D","E"]

Explanation

The nurse is working on the medical-surgical unit when a visiting family member reports the sudden onset of a headache and numbness on the left side of their body. The visitor asks the nurse to check their blood pressure. What is the most appropriate response by the nurse?

Correct Answer is A

Explanation

The nurse is working on the neurological unit. Which task would be most appropriate to delegate to the unlicensed assistive personnel assigned to the unit?

A nurse receives a shift report on the following clients. Which client should the nurse prioritize first?

A family in the emergency department is overwhelmed at the loss of several family members due to a shooting incident in the community. Which intervention should the nurse complete first?

The nurse educator is educating new staff nurses about mass casualty events. Which statements by the new nurse indicate a need for further teaching? (Select All That Apply)

The nurse manager of the emergency department arranges for critical incident stress debriefing for the staff after a mass casualty incident. Which statement by the debriefing team leader is most appropriate for this situation?

The nurse is working on the step-down unit and receives the shift-to-shift report on four clients. Based on the report information, which client would be the highest priority to assess first?