A nurse on a medical-surgical unit is making staff assignments. Which of the following tasks should the nurse delegate to an assistive personnel?

Pouching a client's established ostomy

Updating a family member about a client's condition

Reinforcing teaching with a client about a low-sodium diet

Demonstrating the use of an incentive spirometer to a client

Answer and Explanation

The Correct Answer is A

A. Pouching an established ostomy is a routine, non-invasive task that can be safely delegated to an assistive personnel.
B. Updating family members about a client’s condition requires nursing knowledge and communication skills and should not be delegated.
C. Reinforcing teaching involves nursing judgment and is not appropriate to delegate to assistive personnel.
D. Demonstrating use of an incentive spirometer requires teaching skills and should be performed by the nurse.

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Correct Answer is C

Explanation

A. This is a sign of fluid overload and worsening heart failure, indicating the initiative may not be successful.
B. An S3 heart sound is associated with heart failure and indicates poor ventricular function.
C. BNP levels rise in response to heart failure and fluid overload. A decrease in BNP indicates improvement in heart function and effective management, suggesting the quality improvement initiative is working.
D. Rapid weight gain is a sign of fluid retention and worsening heart failure, indicating poor outcomes.

A. "The ethics committee will have the final say if my family doesn't agree with my decisions." B. "When I can no longer make decisions, my living will tell my doctor what care I want." C. "My attorney needs to be present if I make changes to my living will." D. "I will need to have my provider sign my living will."

Correct Answer is B

Explanation

A.The ethics committee may become involved in disputes, but they do nothave the final say. The client's written wishes take precedence if clearly documented.
B. This accurately reflects the purpose of a living will: it outlines a client’s preferences for medical treatment if they become incapacitated and unable to communicate their wishes.
C.An attorney is not requiredto be present for changes to a living will, though local laws may require witnesses or notarization.
D.A provider’s signature is typically not requiredto validate a living will, although witnessing or notarization might be depending on state law.

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A nurse on a medical-surgical unit is making staff assignments. Which of the following tasks should the nurse delegate to an assistive personnel?

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