A nurse is planning care for clients. Which of the following tasks can the nurse delegate to an assistive personnel (AP)?
Assessing a client who just returned from surgery.
Teaching a client who is preoperative how to use an incentive spirometer.
Obtaining a blood pressure for a client who is to be discharged later in the day.
Providing tracheostomy care for a client.
The Correct Answer is C
A. Assessment of a postoperative client requires clinical judgment and is a task that must be performed by a licensed nurse.
B. Client teaching requires nursing knowledge and is within the scope of practice for licensed nurses, not assistive personnel.
C. Obtaining vital signs, such as blood pressure, is within the scope of practice for assistive personnel and can be safely delegated in stable clients.
D. Tracheostomy care is a sterile procedure and requires nursing knowledge and skills, making it inappropriate to delegate to an AP.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A.Reporting changes in breathing or mental status is appropriate, as these can be signs of worsening illness or diabetic ketoacidosis.
B.Contacting the provider for a persistent fever despite treatment is appropriate and shows good understanding of when to seek medical help.
C.Promoting hydration with sugar-free fluids every 30 minutes is appropriate during illness to help prevent dehydration and manage blood glucose levels.
D.Checking blood glucose only twice a day is insufficient during illness. Children with type 1 diabetes should have their blood glucose monitored more frequently—usually every 3 to 4 hours—when sick, due to the risk of hyperglycemia or hypoglycemia.
Correct Answer is C
Explanation
A. An incident report is not necessary in this case, as the client has the right to refuse medication, and no error occurred.
B. The ethics committee is not required to be involved unless there is a complex ethical dilemma, which is not the case here.
C. Reporting the incident to the provideris appropriate to inform them of the refusal, which could impact the client's treatment plan.
D. Returning an opened unit-dose medication to the cart is not allowed due to contamination risk and disposal protocols.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.