A nurse on a medical-surgical unit is delegating client care. Which of the following tasks should the nurse delegate to an assistive personnel?
Instructing a client on self-administration of a tap water enema
Suctioning a client's long-term tracheostomy
Performing a dressing change on a client's peripherally inserted central catheter
Using a pain rating scale to monitor a client's pain level
The Correct Answer is D
A. Instructing a client on self-administration of a tap water enema involves providing education and guidance, which is within the scope of the nurse’s role. This task requires assessing the client’s understanding and ability to perform the procedure correctly.
B. Suctioning a client’s long-term tracheostomy involves specialized skills and knowledge, including the ability to manage potential complications and assess the client’s respiratory status. This task should be performed by a registered nurse or a licensed practical nurse who has the necessary training and expertise.
C. Changing the dressing on a PICC line involves sterile technique and specialized knowledge to prevent infection and ensure proper care of the central line. This task should be performed by a registered nurse or a licensed practical nurse with the appropriate training, as it requires assessment skills and adherence to infection control practices.
D. Using a pain rating scale to monitor a client’s pain level is a task that can be safely delegated to assistive personnel. It involves asking the client to rate their pain and recording the response, which is a straightforward task that does not require advanced clinical judgment.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This statement indicates that the client may have difficulty with activities of daily living (ADLs), such as bathing, due to their rheumatoid arthritis. An occupational therapist can help by providing adaptive techniques or tools to make these tasks easier, thus making this an appropriate referral need.
B. While this statement reflects a common issue for clients with rheumatoid arthritis, it primarily points to a need for pain management and potentially medication adjustments, which are more typically addressed by a rheumatologist or a pain specialist rather than an occupational therapist.
C. This statement is related to nutritional needs and weight management. A dietitian or nutritionist would be the most appropriate professional to help with meal planning and maintaining a healthy weight rather than an occupational therapist.
D. Difficulty with stairs is related to mobility and functional limitations. An occupational therapist can assist by assessing the client’s home environment and recommending modifications or adaptive devices to improve safety and mobility, making this an appropriate reason for referral.
Correct Answer is A
Explanation
A. Nurses play a critical role in triaging and managing patient care during emergencies. Recommending stable clients for discharge helps free up resources and beds for those with more urgent needs, which is an essential part of disaster response.
B. Nurses do not have the authority to prescribe medications, including emergency medications. Prescribing medications is within the scope of practice for licensed providers such as physicians or nurse practitioners.
C. Providing information to the media is not within the scope of a nurse’s role, as it involves managing public relations and ensuring accurate and consistent messaging. This responsibility typically falls to designated spokespersons, such as public information officers or hospital administrators.
D. While performance improvement is important, during a disaster, the immediate priority is to manage patient care and address the emergency situation. Communicating with the performance improvement committee, while valuable for long-term quality improvement, is not the immediate focus during the crisis. Instead, the priority is to manage patient care, follow disaster protocols, and ensure effective response.
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