A nurse is caring for residents at a long-term care facility following a tornado. Which of the following tasks should the nurse delegate to an assistive personnel?

A) Determine which clients need priority medical treatment: This task requires clinical judgment and assessment skills beyond the scope of practice for assistive personnel. Nurses are responsible for assessing clients' needs during emergencies and determining priority for medical treatment based on the severity of their conditions.

B) Answer questions from area residents who have health concerns: While it's important to provide information and support to those affected by the tornado, answering questions about health concerns requires knowledge and expertise in healthcare that is typically within the nurse's scope of practice. Nurses should address inquiries and provide education to ensure the well-being of the community.

C) Perform CPR for a client who is not breathing: This task can be delegated to assistive personnel if they are trained and competent in CPR. In emergencies such as cardiac arrest, prompt initiation of CPR can be life-saving. However, it's crucial to ensure that the assistive personnel are properly trained and certified in CPR before delegating this task.

D) Complete distal capillary refill checks for a client who has an open leg wound: While assessing capillary refill is an important aspect of wound care, performing this task for a client with an open leg wound requires specialized knowledge and skills in wound assessment and management. It falls within the scope of nursing practice and should not be delegated to assistive personnel.

A) "I will contact the provider to let her know":

This response acknowledges the client's uncertainty about the procedure and indicates the nurse's commitment to address the client's concerns promptly by involving the healthcare provider. Contacting the provider allows for further discussion of the client's decision and consideration of any alternatives or additional information needed to support the client's choice.

B) "You should discuss your concerns with your family":

While involving family members in decision-making can be beneficial, especially for emotional support, the client's decision about the procedure is ultimately theirs to make. Encouraging discussion with family members without addressing the client's immediate concerns may not effectively address the situation.

C) "This procedure is perfectly safe":

Asserting the safety of the procedure without addressing the client's uncertainties or reasons for hesitation may not adequately address the client's concerns. It's essential to acknowledge and explore the client's apprehensions rather than dismissing them outright.

D) "Why are you changing your mind about the procedure?":

This response may come across as confrontational and may put the client on the defensive. It's important to approach the situation with empathy and support, allowing the client to express their concerns openly without feeling judged or pressured.