A nurse is delegating client care assignments for the shift. Which of the following teks should the nurse delegate to an assistive personnel (AP)?

Measure and record intake and output for a client.

Teach a client about low-sodium foods.

Evaluate pain relief for a client following the administration of a pain medication.

Perform wound irrigation for a client.

Answer and Explanation

The Correct Answer is A

A. Measuring and recording intake and output is within the scope of practice for an AP.
B. Teaching requires professional knowledge and is the responsibility of a nurse.
C. Evaluating pain relief requires critical thinking and assessment skills, which are within the nurse's scope of practice.
D. Wound irrigation is a skilled task that requires the expertise of a nurse.

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Correct Answer is C

Explanation

A. Keeping silent is unethical and violates the Nurse Practice Acts.
B. Informing the police might be necessary eventually, but the initial report should be to the supervisor.
C. Reporting the incident to the supervisor is the correct and appropriate action according to the Nurse Practice Acts.
D. Discussing the incident with a colleague does not address the legal and ethical obligation to report.

A. Showing disapproval B. Offering false reassurance C. Providing a passive response D. Offering sympathy

Correct Answer is B

Explanation

A. Showing disapproval involves expressing negative judgment, which is not evident here.
B. Offering false reassurance is when the nurse gives an assurance without basis, which is the case in this scenario.
C. Providing a passive response would involve avoiding the issue or not addressing it, which is not what the nurse did.
D. Offering sympathy involves expressing understanding and compassion, which is not the primary issue with the response.

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A nurse is delegating client care assignments for the shift. Which of the following teks should the nurse delegate to an assistive personnel (AP)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An on-duty nurse discovers that a colleague is stealing medicines. According to the Nurse Practice Acts, what should the nurse do?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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