A nurse is caring for a client who was admitted for treatment of a wound. Which of the following tasks should the nurse delegate to an assistive personnel?
Ask the client to describe their pain level.
Collect a wound culture.
Transport the client for a wound debridement.
Measure the size of the wound.
The Correct Answer is C
A. Pain assessment is a nursing responsibility and involves clinical judgment that cannot be delegated to assistive personnel (AP).
B. This is a sterile procedure requiring nursing knowledge and technique, and must be performed by a licensed nurse.
C. Transporting stable clients is within the scope of practice for assistive personnel, as long as the client does not require ongoing assessment or monitoring during transport.
D. Wound assessment, including measurement, requires clinical evaluation and documentation by a licensed nurse.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","E"]
Explanation
A. A nurse manager oversees the daily operations of the unit, ensuring quality care and appropriate staffing.
B. Nurse managers have the authority to make administrative and clinical decisions that impact the unit.
C. Nurse managers align unit performance with the broader goals of the organization, such as safety, patient satisfaction, and efficiency.
D. While nurse managers ensure proper delegation is occurring, delegation is a direct responsibility of staff nurses, not the manager unless they are functioning in a clinical role.
E. Nurse managers are responsible for performance management, including recognizing good work and addressing issues through corrective action when needed.
Correct Answer is D
Explanation
A.Assisting with ambulation is part of routine nursing care, not specifically an act of advocacy.
B.Reorienting the client helps with confusion but is also standard care for clients with cognitive impairment.
C.Performing a cognitive assessment is part of the nurse’s assessment role and does not involve speaking or acting on the client's behalf.
D. This demonstrates advocacy by promoting therapies that support the client's cognitive and emotional well-being. The nurse is taking action to support the client's preferences and needs beyond routine care.
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