A nurse is delegating client care assignments for the upcoming shift. Which of the following tasks should the nurse plan to delegate to the assistive personnel (AP)?
Collecting intake and output.
Evaluating pain relief after administering pain medication.
Providing a central line dressing change.
Selecting a menu for a low-sodium diet.
The Correct Answer is A
Assistive personnel (AP), also known as unlicensed assistive personnel (UAP), can perform tasks such as recording vital signs ¹. Collecting intake and output [a] is a task that can be delegated to an AP.
The other options are not tasks that should be delegated to an AP.
Evaluating pain relief after administering pain medication [b] involves assessing the effectiveness of a medical intervention, which is typically the responsibility of a licensed nurse.
Providing a central line dressing change [c] is a complex task that requires specialized knowledge and skills.
Selecting a menu for a low-sodium diet [d] involves dietary planning, which is typically the responsibility of a licensed nurse or a registered dietitian.
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Correct Answer is B
Explanation
If a float nurse is given a client assignment that requires the use of unfamiliar skills and techniques, the appropriate action for the nurse to take is to request that the charge nurse modify the assignment. This will allow the nurse to provide safe and competent care to their clients.
Option A is incorrect because providing client care as assigned without the necessary skills and knowledge could compromise client safety.
Option C is incorrect because making a formal complaint to the nursing manager is not an immediate solution to the issue at hand.
Option D is incorrect because asking another nurse to trade assignments may not be feasible or appropriate.
Correct Answer is D
Explanation
The correct answer is Choice D.
Choice A rationale: Withdrawing consent is a client’s legal right. No error or unexpected event occurred, so no incident report is required.
Choice B rationale: Preference for shower timing is a routine care adjustment, not an adverse or unusual event requiring documentation.
Choice C rationale: Vomiting may be a side effect, but unless it causes harm or is unexpected, it doesn’t meet incident report criteria.
Choice D rationale: A medical emergency involving a visitor is unexpected and requires documentation for liability, safety, and institutional response tracking.
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