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
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.
Correct Answer is D
Explanation
Choice A rationale
Dividing time evenly among patients reflects the professional value of justice, ensuring fair allocation of nursing resources based on patient needs rather than strict equality of time. Justice in nursing involves impartiality and equitable treatment.
Choice B rationale
Demonstrating care and concern for a patient's culture and beliefs aligns with the professional value of respect for autonomy and human dignity. It involves acknowledging and valuing the patient's individuality and their right to self-determination in healthcare decisions.
Choice C rationale
Encouraging the patient to make decisions about food selection promotes patient autonomy, allowing them to exercise their right to make choices about their care. This respects their preferences and empowers them in their healthcare journey.
Choice D rationale
Performing patient assessment and recording findings accurately exemplifies integrity, which involves honesty, truthfulness, and adherence to ethical principles. Accurate documentation provides an honest representation of the patient's condition and the care provided, crucial for safe and effective nursing practice.
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