A nurse is asked to delegate a task to an assistive personnel (AP). What should the nurse consider first according to the Nurse Practice Act?
The nurse should delegate the task only if the client requests.
The nurse should ensure the AP has demonstrated competency in the skill
The nurse should delegate the task immediately to save time.
The nurse should delegate the task if it is not part of their scope of practice.
The Correct Answer is B
A. The nurse should delegate the task only if the client requests: While client preference is important, delegation decisions are primarily based on the AP’s competence and legal scope of practice, not solely on client request. Client consent does not replace assessment of safety.
B. The nurse should ensure the AP has demonstrated competency in the skill: The Nurse Practice Act requires that nurses delegate only tasks that the AP is competent to perform safely. Verification of training, experience, and demonstrated ability is essential before delegation to protect client safety and maintain legal accountability.
C. The nurse should delegate the task immediately to save time: Delegating without assessment of competency or appropriateness violates professional and legal standards. Saving time cannot override the responsibility to ensure safe, legal delegation.
D. The nurse should delegate the task if it is not part of their scope of practice: Delegation decisions are not based solely on what is outside the nurse’s scope. The nurse retains accountability for the client’s outcome and must ensure the AP is competent to perform the task safely within their legal scope.
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Related Questions
Correct Answer is C
Explanation
A. Curing the illness: Palliative care is not primarily aimed at curing the disease. Its focus is on supporting clients and families through the progression of a life-threatening illness, regardless of prognosis.
B. Providing only spiritual support: Spiritual support is an important component of palliative care but is not the sole focus. Comprehensive care addresses physical, emotional, social, and spiritual needs.
C. Alleviating discomfort and improving quality of life: The primary goal of palliative care is to reduce pain and other distressing symptoms while enhancing the client’s overall quality of life. Care is holistic and client-centered, prioritizing comfort and well-being.
D. Restricting medical interventions to end-of-life care: Palliative care can be provided alongside curative or life-prolonging treatments. It is not limited to end-of-life care and does not inherently restrict interventions unless aligned with the client’s wishes.
Correct Answer is A
Explanation
A. Performing hand hygiene before administering oral medication: Hand hygiene is a key component of medical asepsis, aimed at reducing the number of microorganisms and preventing their spread. This practice protects both the patient and healthcare provider from infection.
B. Wearing a sterile gown during wound irrigation: Using a sterile gown is part of surgical or sterile technique, which is considered surgical asepsis rather than medical asepsis. It prevents contamination during invasive procedures.
C. Cleaning the surgical site with antiseptic solution: Prepping a surgical site is a sterile procedure to eliminate pathogens before invasive surgery, aligning with surgical asepsis, not medical asepsis.
D. Using sterile gloves to insert a urinary catheter: Sterile gloves are part of surgical asepsis because catheter insertion requires maintaining a sterile field to prevent infection. This is distinct from medical asepsis practices.
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