A nurse is delegating care for a group of four clients. Which of the following tasks should the nurse delegate to an assistive personnel (AP)?
Irrigate and perform a dressing change for a client who has a pressure injury wound.
Administer oral PRN pain medication to a client who has arthritis.
Obtain a daily weight on a client who has heart failure.
Reinforce teaching the use of an incentive spirometer to a postoperative client.
The Correct Answer is C
Choice A reason: Irrigating and performing a dressing change for a client who has a pressure injury wound is not a task that the nurse should delegate to an AP. This task requires the nurse's clinical judgment, skill, and knowledge to assess the wound, select the appropriate dressing, and prevent infection. This task is also within the nurse's scope of practice, but not the AP's scope of practice.
Choice B reason: Administering oral PRN pain medication to a client who has arthritis is not a task that the nurse should delegate to an AP. This task involves the nurse's responsibility to evaluate the client's pain level, determine the need and the dosage of the medication, and monitor the client's response and side effects. This task is also within the nurse's scope of practice, but not the AP's scope of practice.
Choice C reason: Obtaining a daily weight on a client who has heart failure is a task that the nurse can delegate to an AP. This task is a routine and standardized procedure that does not require the nurse's clinical judgment, skill, or knowledge. This task is also within the AP's scope of practice, if the nurse provides clear directions and supervision.
Choice D reason: Reinforcing teaching the use of an incentive spirometer to a postoperative client is not a task that the nurse should delegate to an AP. This task involves the nurse's role to educate the client about the purpose, benefits, and technique of using the incentive spirometer, and to evaluate the client's understanding and compliance. This task is also within the nurse's scope of practice, but not the AP's scope of practice.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: The reservoir is the environment or habitat where the infectious agent lives and multiplies. The client's mouth is not a reservoir, but rather a part of the susceptible host. The reservoir for hepatitis A is usually the feces of an infected person.
Choice B reason: The susceptible host is the person who is at risk of getting the infection. The client's mouth is not a susceptible host, but rather a part of the susceptible host. The susceptibility to hepatitis A depends on factors such as age, immunity, hygiene, and exposure.
Choice C reason: The portal of entry is the opening or route through which the infectious agent enters the susceptible host. The client's mouth is a portal of entry, as it is where the contaminated food entered the client's body and caused the infection. Hepatitis A is transmitted through the fecaloral route, meaning that the virus is ingested from contact with objects, food, or water contaminated by the feces of an infected person.
Choice D reason: The infectious agent is the microorganism that causes the infection. The client's mouth is not an infectious agent, but rather a portal of entry for the infectious agent. The infectious agent for hepatitis A is a virus that affects the liver and causes inflammation, jaundice, and fever.
Correct Answer is B
Explanation
Choice A reason: Client's skin is pale and diaphoretic is not included in the subjective component, but in the objective component. The objective component records the measurable and observable data that the nurse collects from the client, such as vital signs, physical examination findings, and laboratory results.
Choice B reason: Client reports chest pain after mowing lawn this morning is included in the subjective component. The subjective component records the data that the client verbalizes or expresses, such as symptoms, feelings, preferences, and beliefs.
Choice C reason: Client administered nitroglycerin 0.3 mg SL for chest pain is not included in the subjective component, but in the plan component. The plan component records the interventions and actions that the nurse implements or plans to implement for the client, such as medications, treatments, referrals, and education.
Choice D reason: Client's blood pressure is 182/98 mm Hg is not included in the subjective component, but in the objective component. The objective component records the measurable and observable data that the nurse collects from the client, such as vital signs, physical examination findings, and laboratory results.
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