A volunteer assigned to the pediatric unit reports to the charge nurse for an assignment. Which of the following assignments is unsafe for the volunteer?

Playing a computer video game with an adolescent who has sickle cell disease

Transporting a school-age client who is in traction to another department

Reading a book to a preschool client who has AIDS

Rocking an infant who was admitted for croup

Answer and Explanation

The Correct Answer is B

A.   Playing a video game with an adolescent does not typically involve medical or technical procedures that require specialized training. This assignment focuses on providing companionship and support, which is appropriate for a volunteer, especially if the activity is aimed at providing comfort and distraction.
B.   Transporting a patient who is in traction requires specific training and knowledge to ensure the patient’s safety and proper handling of the traction equipment. Volunteers typically do not have the necessary training to safely manage such tasks, and improper handling could lead to complications or injury.
C.   Reading a book to a preschool-aged child is a non-medical, supportive activity that does not involve any clinical procedures or risks. It is an appropriate way for a volunteer to provide comfort and engagement to a child in a non-invasive manner.
D.   Rocking an infant is a comforting and supportive activity that does not require medical expertise. Volunteers can safely provide physical comfort and emotional support to infants, as long as they follow any specific guidelines or protocols provided by the healthcare facility.

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Correct Answer is B

Explanation

A. While timing is important in delegation, it is not one of the five specific rights.
B. This is one of the five rights of delegation. Effective communication ensures that the AP clearly understands the task, expectations, and any necessary information. It also involves providing clear directions and feedback.
C. The room where the task is performed is not a factor in determining the appropriateness of delegation.
D. Documentation is a responsibility of the nurse, but it is not one of the five rights of delegation.

A. The client ate 60% of their breakfast. B. The client reports dizziness when ambulating to the bathroom. C. The client reports having trouble sleeping the previous night D. The client has a urine output of 400 mL for the past 8 hr.

Correct Answer is B

Explanation

A. Eating 60% of breakfast is generally not a significant concern regarding the administration of antihypertensive medication. However, if the client had a significantly reduced intake or other issues, it might warrant attention, but 60% of a meal typically does not.
B. This finding is significant and indicates that further assessment is necessary before administering antihypertensive medication. Dizziness, especially when related to ambulation, could be a sign of hypotension or an adverse effect of antihypertensive medication.
C. Trouble sleeping can be related to various factors, including stress, side effects of medication, or underlying health conditions. While it is important to consider the client’s overall well-being, this finding does not immediately indicate a need for further assessment before administering antihypertensive medication.
D. Urine output of 400 mL over 8 hours indicates a urine output of 50 mL per hour, which is within the normal range for adults. This finding is unlikely to require further assessment specifically in relation to the administration of antihypertensive medication.

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A volunteer assigned to the pediatric unit reports to the charge nurse for an assignment. Which of the following assignments is unsafe for the volunteer?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to delegate tasks to an assistive personnel (AP). The nurse should identify which of the following as one of the five rights of delegation?

Correct Answer is B

Explanation

A nurse is preparing to administer a client's antihypertensive medication. When using clinical judgment, which of the following findings indicates the nurse should further assess the client before administering medication?

Correct Answer is B

Explanation

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