An assistive personnel (AP) reports to the nurse that a client who is 3 days postoperative following an abdominal hysterectomy has a dressing that is saturated with blood. Which of the following tasks should the nurse delegate to the AP?
Palpate for possible bladder distention.
Observe the incision site.
Change the abdominal dressing.
Obtain vital signs.
The Correct Answer is D
Rationale:
A. Palpate for possible bladder distention is a task that requires nursing assessment skills and should be done by the nurse.
B. Observe the incision site is a nursing task that involves assessing for signs of complications.
C. Change the abdominal dressing requires sterile technique and should be done by a nurse to prevent infection and ensure proper care.
D. Obtain vital signs is within the AP’s scope of practice and is a task that can be delegated. It is important for monitoring the client’s status and identifying potential issues.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Measuring I&O is a task typically assigned to APs or RNs, not specifically requiring the LPN’s scope of practice.
B. Obtaining a client’s weight is a basic task that can be performed by APs.
C. Providing postmortem care can be performed by LPNs, but this task is not as complex as some others.
D. Inserting a nasogastric tube requires skills and knowledge specific to LPNs, making it an appropriate task for them.
Correct Answer is D
Explanation
Rationale:
A. Telling other nurses is useful for team morale but does not directly recognize the AP.
B. Detailing contributions to the manager is valuable but can be done after initial direct recognition.
C. Nominating for an award is an excellent formal recognition but should follow immediate feedback.
D. Giving direct positive feedback immediately acknowledges the AP’s efforts and encourages continued good performance.
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