A nurse is delegating cli care tasks to an assistive personnel. Which of the following tasks should the nurse delegate?
Performing a simple dressing change
Evaluating the healing of an incision
Inserting an NG tube
Changing IV tubing
The Correct Answer is A
Choice A rationale:
Performing a simple dressing change is a task that can be delegated to assistive personnel.
Choice B rationale:
Evaluating the healing of an incision requires nursing judgment and assessment skills, making it more appropriate for the nurse to perform.
Choice C rationale:
Inserting an NG tube is a complex procedure that requires specific nursing skills and should not be delegated to assistive personnel.
Choice D rationale:
Changing IV tubing involves critical steps and should be performed by the nurse to ensure patient safety.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
The radial vein on the left wrist is not typically chosen for IV therapy. Additionally, proximity to the mastectomy site may be a consideration.
Choice B rationale:
The cephalic vein on the back of the right hand is not typically selected, especially following a right mastectomy. Choosing a vein on the affected side may increase the risk of complications.
Choice C rationale:
The cephalic vein in the left distal forearm is a suitable choice. It is on the opposite side of the mastectomy and allows for effective IV therapy.
Choice D rationale:
The basilic vein in the right antecubital fossa is on the affected side and may pose a higher risk of complications. Choosing a vein on the opposite side is generally preferred.
Correct Answer is C
Explanation
Choice A rationale:
Verifying the count total after removing the required amount is a step in ensuring accurate medication administration, but it is not specifically related to controlled substances.
Choice B rationale:
Asking a second nurse to record her signature is a recommended practice when wasting any unused portion of a controlled substance to ensure accountability.
Choice C rationale:
Reporting any discrepancy in the count total is essential, especially for controlled substances, to maintain accuracy and detect potential diversion.
Choice D rationale:
Placing the wasted portion in the sharps container is not the correct disposal method for controlled substances. Controlled substances should be witnessed and documented during disposal.
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