A nurse is making assignments for staff on an inpatient unit. Which of the following tasks can a nurse legally delegate to assistive personnel?

Obtaining the initial assessment of assigned clients

Changing a nonsterile dressing

Interpreting a client’s diagnostic laboratory results

Educating a client and family members on home care

Answer and Explanation

The Correct Answer is B

Choice A reason: Obtaining initial assessments requires clinical judgment and is outside the scope of assistive personnel (AP). Registered nurses must perform assessments to identify health changes accurately. Delegating this task violates scope of practice regulations, making it illegal and unsafe for AP to perform.
Choice B reason: Changing a nonsterile dressing is within the scope of assistive personnel, as it involves routine, non-invasive care under nurse supervision. AP are trained for such tasks, which do not require clinical judgment, making this a legal and appropriate delegation choice.
Choice C reason: Interpreting laboratory results requires advanced knowledge and clinical decision-making, reserved for registered nurses or providers. Assistive personnel lack the training to analyze results, so delegating this task is illegal and risks patient safety, making it an incorrect choice.
Choice D reason: Educating clients and families involves assessing learning needs and tailoring information, which requires nursing judgment. Assistive personnel are not trained for patient education, making this task outside their scope and illegal to delegate, thus an incorrect choice.

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Correct Answer is D

Explanation

Choice A reason: Giving 2 ounces of water before newborn genetic screening is unnecessary and inappropriate, as the test involves a heel stick blood sample, not oral intake. Water may disrupt feeding or hydration balance in newborns, making this statement incorrect and irrelevant.
Choice B reason: Newborn genetic screening is typically a one-time test shortly after birth, not repeated at 2 months unless specific conditions warrant follow-up. Routine repetition is not standard, making this statement inaccurate for general teaching about the screening process.
Choice C reason: Blood for newborn genetic screening is collected via a heel stick, not the inner elbow, to minimize discomfort and obtain sufficient capillary blood. Drawing from the elbow is incorrect and impractical for newborns, making this statement inaccurate.
Choice D reason: Performing genetic screening after 24 hours ensures accurate detection of metabolic disorders, as newborns need time to metabolize nutrients. This timing aligns with national guidelines (e.g., AAP), making it essential and correct information for parents about the screening process.

A. Your child can return to school 24 hours after beginning antibiotics. B. Your child can return to school after a negative titer result. C. Your child can return to school once the fever has subsided. D. Your child can return to school once the lesions have crusted over.

Correct Answer is D

Explanation

Choice A reason: Varicella, a viral infection, is not treated with antibiotics, which target bacteria. Returning to school after 24 hours of antibiotics is incorrect, as contagiousness persists until lesions crust, typically 5-7 days, risking transmission if the child returns prematurely.
Choice B reason: A negative titer result indicates immunity or resolved infection but is not a practical criterion for school return. Varicella contagiousness depends on lesion crusting, not serology, which is complex and unnecessary when clinical signs confirm reduced infectivity in affected children.
Choice C reason: Fever subsidence does not ensure non-contagiousness in Varicella. The virus spreads via respiratory droplets and lesions until crusted. Allowing return based on fever ignores transmission risk, as active lesions remain infectious, potentially spreading the virus in school settings.
Choice D reason: Varicella is contagious until lesions crust over, typically 5-7 days post-rash. Crusting indicates the end of viral shedding, ensuring safety for school return. This aligns with infection control guidelines, preventing transmission via contact or respiratory routes in communal settings.

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A nurse is making assignments for staff on an inpatient unit. Which of the following tasks can a nurse legally delegate to assistive personnel?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to the parents of a newborn about newborn genetic screening. Which of the following statements should the nurse include in the teaching?

Correct Answer is D

Explanation

A nurse is providing teaching to a parent of a child who has Varicella. Which of the following statements should the nurse include in the teaching?

Correct Answer is D

Explanation

A nurse is providing teaching to a client about the adverse effects of sertraline. Which of the following adverse effects should the nurse include?

A nurse is witnessing a surgeon obtain informed consent from a client. Which of the following legal requirements is met by this action?

A nurse is completing an admission assessment for a client who has narcissistic personality disorder. Which of the following findings should the nurse expect?

A nurse is teaching a client who has a newly documented latex allergy. Which of the following statements by the client indicates an understanding of the teaching?

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