A nurse is assisting with planning care for a group of clients. Which of the following tasks should the nurse delegate to an assistive personnel?

Changing the dressing on a client's IV site

Suctioning a client's new tracheostomy

Evaluating a client's risk for developing pressure injuries

Administering a large-volume enema to a client

Answer and Explanation

The Correct Answer is D

A. Changing the dressing on a client's IV site: This is a sterile procedure and requires the nurse’s clinical expertise. It cannot be delegated to assistive personnel (AP).

B. Suctioning a client's new tracheostomy: Suctioning a tracheostomy, especially a new one, is a sterile procedure requiring clinical judgment and skill, which is beyond the scope of assistive personnel.

C. Evaluating a client's risk for developing pressure injuries: This is an assessment task that requires clinical judgment and critical thinking. It falls under the nurse’s scope of practice and should not be delegated to AP.

D. Administering a large-volume enema to a client: Assisting with or administering an enema is a task that can be delegated to assistive personnel, as it is within their scope of practice, provided the client is stable and the procedure does not require complex judgment.

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Correct Answer is C

Explanation

A. Incorrect. Allowing the baby to finish a bottle at the next feeding increases the risk of overfeeding and can lead to problems such as excessive weight gain and discomfort.
B. Incorrect. Placing the baby on their stomach after feedings increases the risk of choking and is not recommended. The correct position is to place the baby on their back to sleep.
C. Correct. Newborns typically need to be fed approximately every 2-3 hours, which amounts to about six to eight feedings per day. This statement indicates an understanding of the frequency of feeding required for a newborn.
D. Incorrect. Adding rice cereal to a newborn's bottle is not recommended, especially without medical advice, as it can increase the risk of choking and may not be developmentally appropriate.

A. Coordinating client care B. Providing direct client care C. Assessing a client's health status D. Identifying specific client health problems E. Identifying specific client health problems

Correct Answer is B

Explanation

A. Coordinating client care is typically a responsibility of registered nurses (RNs) who have advanced training and education in care coordination and management.
B. Providing direct client care, under the supervision of registered nurses or physicians, is a primary responsibility of licensed practical nurses (LPNs). This may include administering medications, assisting with activities of daily living, and monitoring clients' vital signs.
C. Assessing a client's health status is within the scope of practice of both registered nurses and licensed practical nurses, but LPNs typically perform more focused assessments compared to
RNs.
D. Identifying specific client health problems often involves critical thinking and clinical judgment, which are skills typically developed through higher levels of education and experience. While LPNs may identify issues during routine care, diagnosing health problems is generally the responsibility of the healthcare provider.

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A nurse is assisting with planning care for a group of clients. Which of the following tasks should the nurse delegate to an assistive personnel?

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