A nurse is planning to delegate client care to an assistive personnel (AP). Which of the following tasks should the nurse plan to delegate to the AP?
Reinserting an NG tube that was pulled out by a client
Recording output for a client who has multiple drains and tubes
Teaching a family member how to change a simple dressing at home
Suctioning a client's tracheostomy that has been in place for 3 days
The Correct Answer is B
Recording output for a client who has multiple drains and tubes is a task that can be delegated to an AP, as it does not require nursing judgment or assessment skills. Reinserting an NG tube, teaching a family member how to change a dressing, and suctioning a tracheostomy are tasks that require nursing judgment, assessment skills, and specialized knowledge, and therefore cannot be delegated to an AP.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
When caring for a client who has restraints, the nurse should follow the ABCDE priority-setting framework and assess airway, breathing, circulation, disability, and exposure first. Peripheral pulses are an indicator of circulation and should be assessed first to ensure adequate blood flow to the extremities. Comfort level, skin integrity, and elimination needs are also important assessments but are not as high priority as circulation.
Correct Answer is D
Explanation
The nurse can delegate tasks that are routine, unskilled, and do not require nursing judgment to assistive personnel. Assisting the client to select food choices from the menu is an example of such a task. Evaluating the client's response to pain medication, monitoring the characteristics of the client's chest tube drainage, and teaching deepbreathing and coughing to the client are tasks that require nursing judgment and skill and should not be delegated.
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