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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Expressing a desire to join a support group indicates a need for emotional support but does not specifically require occupational therapy.
B. Requiring assistance with completing oral hygiene indicates that the client may benefit from occupational therapy to improve fine motor skills and daily living activities, making this the most relevant finding for the referral.
C. Difficulty ambulating with a walker may require physical therapy rather than occupational therapy, as it focuses on mobility rather than daily tasks.
D. Reporting pain when chewing solid foods suggests a need for dietary modifications or possibly speech therapy, but it does not directly indicate a need for occupational therapy.
Correct Answer is A
Explanation
A. Meeting with the nursing staff to review the policy regarding advance directives addresses the systemic issue of documentation. This action helps to ensure that all staff are aware of the importance of advance directives and the necessity for proper documentation moving forward.
B. Reinforcing potential consequences is important but may not directly resolve the immediate lack of documentation in the records. Education without action does not change current practice.
C. Asking nurses to obtain the information is a necessary step, but it is essential first to address the overall understanding and policy compliance with the entire nursing staff.
D. Reminding nurses to obtain this information during the admission process is a good practice, but it does not address the current records that are lacking documentation.
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