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
Advance directives are legally binding documents that one uses to express their health care wishes for when they are unable to do so in the future. They include a living will, durable power of attorney. They are signed by the individual when they are mentally capable and healthy.
A. Only the individual signs the advanced directives
C. They are signed when one is healthy and mentally sound
D. The doctor has no role in the writing of a living will.
Correct Answer is B
Explanation
Using a sterile pair of forceps to pack a sterile gauze maintains sterility to reduce risk of wound contamination and infection.
A. The back of the sterile gown is considered unsterile and using sterile gloves to touch it breaches sterility.
C. Any part of the sterile field that is within 1 inch from the edge is considered contaminated D. Prolonged exposure of sterile tools to airborne microorganisms can lead to contamination.
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