A nurse on a medical-surgical unit is delegating client care. Which of the following tasks should the nurse delegate to 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
Rating the pain scale of a client is a low risk task that can be performed by assistive personnel
A. Self-administration of a tap water enema requires careful training which is the responsibility of a nurse
B. Suctioning a tracheostomy tube is a risky procedure within the scope of a registered nurse
C. Replacing a dressing is a procedure that requires infection control measures therefore a nursing intervention
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Related Questions
Correct Answer is B
Explanation
As the healthcare surrogate, the partner is legally allowed to make decisions on behalf of the client. A healthcare surrogate is an individual upon whom the legal mandate is given to make healthcare decisions on behalf of the client in the event where the client lacks capacity to do so.
A. No further review of the advanced directives is necessary if the surrogate is known
C and D. If clearly stated, no further review by the facility committee or provider is needed as they undermine the role of the surrogate.
Correct Answer is A
Explanation
To address a problem, establishing the root cause of the problem is the primary step. Understanding the reason behind the behavior allows the solutions to be tailored towards this.
The other options provide solutions which should only happen after the root cause of the issue is well understood.
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