A nurse is delegating care to an assistive personnel. Which of the following assignments should the nurse make?

Taking the vital signs of a client who is experiencing acute angina

Collecting a urine specimen from a client who is experiencing dysuria

Answering a telephone inquiry about NPO status from a client who is scheduled for a procedure

Reinforcing teaching with a client about stool specimen collection

Answer and Explanation

The Correct Answer is B

A.   Taking the vital signs of a client who is experiencing acute angina. Acute angina is a potentially unstable condition requiring assessment by a nurse.
B.   Collecting a urine specimen from a client who is experiencing dysuria. APs can perform routine specimen collection tasks.
C.   Answering a telephone inquiry about NPO status from a client who is scheduled for a procedure. Only licensed nurses should provide pre-procedure instructions.
D.   Reinforcing teaching with a client about stool specimen collection. Reinforcement of teaching involves assessment and evaluation, which are the nurse’s responsibilities.

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Correct Answer is B

Explanation

A. Notify the nurse manager: Informing the manager may be necessary later, but the immediate priority is assessing and addressing the family member's condition.
B. Check the family member's vital signs: Assessing the family member's condition is the first step to determine the severity of the situation and provide appropriate care.
C. Obtain the family member's health history: Health history is valuable but not a priority in an acute event like fainting.
D. Complete an incident report: Incident reporting is necessary but should occur after the situation is managed and the family member's condition is stabilized.

A. "I respect your right to choose to discontinue treatment." B. "I will have a hospice nurse come discuss this kind of care with you." C. "I'll work with hospice services to help you transition to their care." D. "I will answer any questions you have about hospice care honestly."

Correct Answer is D

Explanation

A. "I respect your right to choose to discontinue treatment." This demonstrates respect for autonomy but does not specifically convey veracity (truthfulness).
B. "I will have a hospice nurse come discuss this kind of care with you." This is an appropriate action but does not directly reflect truthfulness.
C. "I'll work with hospice services to help you transition to their care." This statement demonstrates support but does not explicitly involve truth-telling.
D. "I will answer any questions you have about hospice care honestly." This directly addresses the ethical principle of veracity by ensuring truthful communication with the client.

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A nurse is delegating care to an assistive personnel. Which of the following assignments should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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Correct Answer is D

Explanation

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