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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Speak loudly and use simple words: Speaking loudly may be perceived as shouting and can increase agitation. Using simple words is appropriate, but volume should be normal and calm.
B. Address the client by name and reorient client: Addressing the client by name and reorienting him is effective because it respects his dignity and helps him understand his current situation, reducing confusion and agitation. This approach is clear, respectful, and supportive.
C. Challenge the client to refocus his attention when he becomes agitated: Challenging the client can be confrontational and may escalate agitation. It is better to use a calm, reassuring approach.
D. Ask the client a series of questions without allowing time for the client to answer: This can overwhelm and frustrate the client, leading to increased agitation.
Correct Answer is B
Explanation
A. Assess the client's pain level: Assessing the client's pain level is part of the assessment step, not the evaluation step.
B. Ask the client to demonstrate use of the incentive spirometer: Asking the client to demonstrate use of the incentive spirometer is a way to evaluate whether the client has understood and can perform the skill.
C. Develop a short-term goal for the client: Developing a short-term goal is part of the planning step, not the evaluation step.
D. Provide instructions on how to use the incentive spirometer: Providing instructions is part of the implementation step, not the evaluation step.
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