The nurse is caring for a patient who has been diagnosed as having a terminal illness.
Which statement by the patient is the best example of the first stage of grief described by Kubler-Ross?

Choice A rationale

The nurse practice act and agency policy provide the legal and organizational framework for nursing practice and delegation. Determining if the delegation of topical medication administration is permissible under these guidelines is the foundational first step to ensure legality and adherence to established protocols.

Choice B rationale

Assessing the UAP's training is crucial for safe delegation, but it's secondary to ensuring that the task is delegable in the first place according to legal and policy guidelines. Training is irrelevant if the task cannot be delegated.

Choice C rationale

Ensuring appropriate supervision is essential for delegated tasks, but again, it's contingent on whether the task can be legally and organizationally delegated. Supervision protocols come into play after the initial permissibility of delegation is established.

Choice D rationale

Evaluating the client's past response to the treatment is important for ongoing care but doesn't determine the initial delegability of the task to a UAP. The focus of the first question is on the legal and policy aspects of delegation. .

Choice A rationale

A CPAP (Continuous Positive Airway Pressure) mask delivers a constant stream of pressurized air to keep the airway open during sleep, which is the primary treatment for sleep apnea. Sleep apnea is characterized by repeated pauses in breathing due to airway obstruction, and CPAP effectively prevents these episodes.

Choice B rationale

A nasal cannula delivers low-flow oxygen through two prongs inserted into the nostrils. While it can provide supplemental oxygen, it does not address the underlying airway obstruction that occurs in sleep apnea. Therefore, it is not the expected delivery device for this condition. Normal flow rate is 1 to 6 liters per minute, providing a fraction of inspired oxygen (FiO2) of 24% to 44%.

Choice C rationale

A non-rebreather mask delivers a high concentration of oxygen (60% to 90%) and is typically used for patients with acute respiratory distress. It is not the appropriate device for managing the chronic condition of sleep apnea, which primarily requires airway support rather than high oxygen levels.

Choice D rationale

A simple face mask delivers a moderate concentration of oxygen (40% to 60%) and requires a flow rate of 5 to 8 liters per minute. While it provides more oxygen than a nasal cannula, it does not address the airway obstruction inherent in sleep apnea and is therefore not the expected device for this condition.