The nurse is having an exceptionally busy shift on an obstetrical unit.
Which of the following tasks is the nurse justified in delegating to an unlicensed care provider?
Emptying a client's Foley catheter bag and reporting the volume to the nurse.
Helping a first-time mother achieve a good latch when breastfeeding her infant.
Assessing the size and quantity of clots that are in a client's bedpan and informing the nurse.
Giving an anti-inflammatory medication to a client who is eight hours postdelivery.
The Correct Answer is A
Choice A rationale
Emptying a Foley catheter bag and reporting the urine volume is a routine task that does not require complex assessment or clinical judgment. Unlicensed care providers are typically trained in this procedure and can accurately measure and report the output to the nurse.
Choice B rationale
Helping a first-time mother achieve a good latch during breastfeeding requires specialized knowledge and assessment skills to ensure proper positioning and infant feeding. This task involves teaching and evaluating, which falls within the scope of nursing practice and should not be delegated to an unlicensed care provider.
Choice C rationale
Assessing the size and quantity of blood clots in a postpartum client's bedpan requires clinical judgment to determine if the findings are within normal limits or indicative of a potential complication. This assessment should be performed by a registered nurse who can interpret the findings in the context of the client's overall condition.
Choice D rationale
Administering medication, including anti-inflammatory drugs, is a nursing responsibility that requires knowledge of pharmacology, potential side effects, and client assessment. Medication administration should not be delegated to unlicensed care providers. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Flexibility is essential for a nursing leader as they must adapt to changing situations, diverse perspectives, and unexpected challenges within a team and the healthcare environment. A flexible leader can consider different approaches, negotiate effectively, and maintain a positive and productive atmosphere amidst evolving circumstances.
Choice B rationale
Independence, while valuable for individual nursing practice, is not the most essential quality for a leader. A leader needs to foster collaboration, delegate effectively, and work interdependently with a team to achieve common goals. Over-independence can hinder teamwork and shared decision-making.
Choice C rationale
Physical stamina can be beneficial in the demanding profession of nursing, but it is not a primary essential quality for leadership. Leadership focuses more on cognitive, interpersonal, and strategic skills rather than physical endurance. A leader can be effective regardless of their physical capabilities.
Choice D rationale
Vulnerability, while promoting authenticity and connection in some contexts, is not an essential quality for a nursing leader in the same way as flexibility. While empathy and self-awareness are important, excessive vulnerability might undermine a leader's ability to provide stability, make difficult decisions, and inspire confidence within the team.
Correct Answer is C
Explanation
Choice A rationale
A colleague who graduated at the same time lacks the experience and established professional network necessary to provide effective mentorship. Mentorship involves guidance based on practical experience and insights gained over time, which a recent graduate, regardless of academic achievements, would not possess. A mentor should offer a more seasoned perspective on navigating career challenges and professional development.
Choice B rationale
While a personal friendship might offer emotional support, a unit manager who is primarily a friend may not possess the objectivity and focus required for professional mentorship. The managerial role involves administrative and supervisory responsibilities that might overshadow the specific developmental needs of a novice nurse. Furthermore, personal relationships can sometimes blur professional boundaries, hindering effective guidance.
Choice C rationale
An experienced nurse who previously served as a preceptor has demonstrated an ability to guide and educate new nurses in a clinical setting. This individual is likely familiar with the challenges faced by novice nurses and possesses the practical knowledge and teaching skills necessary for effective mentorship. Their prior experience in a similar role makes them well-suited to provide targeted support and professional guidance.
Choice D rationale
A nurse educator primarily focuses on formal education and training programs within the hospital. While they possess valuable knowledge and expertise, their role typically involves broader educational responsibilities rather than individualized, long-term mentorship. A mentor relationship often involves a more personal and ongoing connection focused on the mentee's specific career trajectory and professional growth, which may fall outside the scope of a nurse educator's primary duties.
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