An RN has a critical client that needs constant monitoring. However, the RN also has other clients in need of care. Which tasks below could the RN delegate to the CNA to help continue the process of client care? (select all that apply) (3)
change a sterile dressing
Ambulate a stable client to the bathroom
take vital signs for the unit
Provide morning care to a client
Give the discharge instructions to a client going home
Correct Answer : B,C,D
A. change a sterile dressing: Changing a sterile dressing is a complex task that requires the skills and knowledge of an RN or LPN, not a CNA.
B. Ambulate a stable client to the bathroom: Ambulating a stable client is within the scope of practice for a CNA and can be delegated.
C. take vital signs for the unit: Taking vital signs is a common task for CNAs and can be delegated.
D. Provide morning care to a client: Providing morning care (such as bathing, grooming) is within the scope of practice for a CNA and can be delegated.
E. Give the discharge instructions to a client going home: Giving discharge instructions requires the assessment and judgment of an RN and cannot be delegated to a CNA.
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Related Questions
Correct Answer is D
Explanation
A. The nurse explains the benefits of smoking cessation: This approach uses the cognitive domain, focusing on knowledge and understanding.
B. The client starts to use nicotine gum as part of their plan to stop smoking: This action uses the psychomotor domain, involving physical tasks and skills.
C. The client uses a nicotine patch to assist in smoking cessation: This action also involves the psychomotor domain.
D. Encourage the client to share their feelings about smoking cessation: The affective domain involves emotions, attitudes, and feelings. Encouraging the client to share their feelings directly engages this domain.
Correct Answer is B
Explanation
A. "You will be okay. Your surgeon will talk to you in the morning.": This statement is reassuring but does not encourage the patient to express their feelings or concerns. It is not considered therapeutic.
B. "Tell me how you care for your colostomy at home." This statement encourages the patient to share information and express concerns about their care, which is a therapeutic communication technique.
C. "I understand how you feel; the same thing happened to me last year." This shifts the focus to the nurse’s experience rather than the patient's feelings, which is nontherapeutic.
D. "Don't worry, you are in good hands." This is a reassuring statement that does not encourage the patient to express their feelings or concerns, making it nontherapeutic.
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