A nurse is planning to delegate care for a male client who has anemia

Exhibits
Select the tasks the nurse should plan to assign to an assistive personnel (AP). Select all that apply.

Measure the client's urine output.

Reinforce teaching with the client about the transfusion.

Insert a peripheral IV.

Check the client's vital signs every 15 min.

Obtain daily weights on the client.

Answer and Explanation

Correct Answer : A,E

Rationale:
A. Measuring urine output is a routine, stable task that can be safely delegated to an assistive personnel (AP).
B. Reinforcing teaching about the transfusion requires nursing knowledge and judgment and cannot be delegated.
C. Inserting a peripheral IV is an invasive procedure requiring nursing skill and licensure, so it cannot be delegated.
D. Checking vital signs every 15 minutes during a blood transfusion requires assessment for transfusion reactions and immediate nursing intervention, so it must be performed by a nurse.
E. Obtaining daily weights is a routine measurement that an AP can safely perform.

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Correct Answer is C

Explanation

Rationale:
A Visitors for a client on contact precautions (e.g., MRSA, C. diff) need gloves and gown, not a mask, unless droplet or airborne precautions are also indicated.
B. A client with compromised immunity requires protective isolation in a positive-pressure airflow room, not a negative-pressure one (which is for airborne infections).
C. Clients on airborne precautions (e.g., TB, measles, varicella) must wear a surgical mask if they leave their room to prevent spreading infectious particles.
D. An N95 respirator is used for airborne precautions, not droplet. Droplet precautions (e.g., influenza, pertussis) only require a surgical mask within 3 feet of the client.

A. Client 3 at 1020 B. Client 4 at 1130 C. Client 4 at 0815 D. Client 1 at 0745 E. Client 4 at 0930 F. Client 1 at 1600 G. Client 4 at 0800 H. Client 4 at 1700 I. Client 2 at 1700 J. Client 1 at 1830

Correct Answer is ["A","B","D","F"]

Explanation

Rationale:
A. Obtaining a blood glucose for the newborn is within the PN’s scope of practice and can be safely delegated.
B. Performing a fundal check is a routine postpartum assessment that a PN can perform under supervision.
C. Conducting an initial newborn assessment requires RN-level assessment skills and cannot be delegated.
D. Reinforcing information about circumcision involves reinforcing teaching, which is within the PN’s scope.
E. Initiating a care plan for a new postpartum client requires nursing judgment and cannot be delegated.
F. Reinforcing safe sleep practices is teaching reinforcement, which a PN can perform.
G. Administering Vitamin K is a medication administration task requiring RN scope (depending on facility policy).
H. Reinforcing teaching about breastfeeding involves detailed education and assessment and should be performed by an RN.
I. Administering ibuprofen is medication administration and requires RN or authorized provider scope.
J. Providing discharge instructions and teaching requires RN-level assessment and teaching skills and cannot be delegated.

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A nurse is planning to delegate care for a male client who has anemia Exhibits Select the tasks the nurse should plan to assign to an assistive personnel (AP). Select all that apply.

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Naxlex Comprehensive Predictor Exams

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Explanation

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A nurse is planning to delegate care for a male client who has anemia

Exhibits
Select the tasks the nurse should plan to assign to an assistive personnel (AP). Select all that apply.