A nurse is working with an assistive personnel (AP) in a health clinic during an outbreak of influenza. Which of the following tasks should the nurse delegate to the AP?
Provide advice to a client over the telephone.
Insert an NG tube for a client.
Teach a client how to walk on crutches.
Perform a simple dressing change for a client.
The Correct Answer is D
A. Providing advice over the telephone requires clinical judgment and assessment, which are beyond the scope of practice for assistive personnel (AP). This task should not be delegated.
B. Inserting an NG tube is an invasive procedure that requires advanced training and skill, so it is not within the scope of the AP. This task must be performed by a nurse or another licensed provider.
C. Teaching a client how to walk on crutches involves instruction and monitoring, which requires the clinical judgment and teaching skills of a nurse or physical therapist, making it unsuitable for AP delegation.
D. Performing a simple dressing change is a routine and basic task that can be safely delegated to an AP, as long as the task does not require sterile technique or complex wound care.
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Related Questions
Correct Answer is C
Explanation
A. It is the provider's responsibility, not the nurse's, to disclose the expected outcomes, risks, and alternatives of a treatment. The nurse ensures the client understands what was explained, but does not disclose this information themselves.
B. While consent allows nurses to perform interventions, the primary responsibility for obtaining informed consent lies with the provider who is performing the procedure.
C. The nurse's signature on the consent form signifies that they witnessed the client sign the document and that the client appeared competent and gave voluntary consent. This is the correct role of the nurse in the informed consent process.
D. Informed consent must be written for procedures, although verbal consent can be used for some less invasive treatments, but this is not standard for most medical or surgical procedures.
Correct Answer is C
Explanation
A. Green is used for clients who are non-urgent and can wait for care, typically those with minor injuries.
B. Yellow is for clients who require monitoring but are stable and not in immediate danger.
C. Black is the appropriate triage tag for a client with full-thickness burns covering 72% of their body, indicating a likely fatal condition and prioritizing resources for those with a better chance of survival.
D. Red is assigned to clients who are critical and require immediate care but can survive with intervention, which does not apply in this case due to the extent of the burns.
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