The nurse working on the medical-surgical unit has delegated several patient care tasks to the unlicensed assistive personnel. What is the nurse's primary responsibility after the delegation of tasks?

Assign the tasks that were not completed to the next nursing shift.

Allow each staff member to judge if the task needs to be completed.

Perform follow-up with each staff member regarding the performance and outcome of each task.

Document that the task was completed.

Answer and Explanation

The Correct Answer is C

Choice A reason: Assigning tasks that were not completed to the next nursing shift is a part of shift change protocols but is not the primary responsibility after delegating tasks. Follow-up is crucial to ensure that all tasks are completed correctly and on time.

Choice B reason: Allowing each staff member to judge if the task needs to be completed undermines the importance of the tasks and could lead to inconsistencies in patient care. It is essential to follow up and ensure that the tasks are completed as delegated.

Choice C reason: Following up with each staff member regarding the performance and outcome of each task is critical. This ensures that the tasks are completed correctly, provides an opportunity to address any issues, and reinforces accountability in the team.

Choice D reason: Documenting that the task was completed is important, but it should occur after the nurse has confirmed that the task was performed correctly. Follow-up is essential to verify the accuracy and completeness of the delegated tasks before documentation.

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Correct Answer is C

Explanation

Choice A reason: A 32-year-old male with a femur fracture in traction is stable but needs ongoing pain management and monitoring for complications like infection or deep vein thrombosis (DVT). While this client requires attention, they are not in immediate critical condition compared to other patients on the list.

Choice B reason: A 38-year-old female with a grade 1 liver laceration admitted 2 days ago also requires close observation for signs of bleeding or worsening liver function. However, given that the liver laceration is of a lesser severity (grade 1), the immediate priority is less critical compared to a client with respiratory compromise.

Choice C reason: A 41-year-old male with 4 rib fractures, pneumothorax, and a chest tube is the highest priority. The presence of pneumothorax indicates a potential life-threatening condition that requires close monitoring to ensure the chest tube is functioning correctly and the lung is re-expanding. Any compromise in the chest tube's functionality can lead to respiratory distress or failure, making this client the most critical and requiring immediate assessment.

Choice D reason: A 55-year-old female admitted 6 days ago with a chest contusion and scheduled for discharge today is likely stable and does not have the same level of urgency as a client with a pneumothorax. This client needs final evaluations and discharge planning, but their condition does not present an immediate life-threatening risk.

A. Immediately evacuate the building B. Hide in a room with no windows C. Attack the shooter at the head and neck D. Call emergency services

Correct Answer is B

Explanation

Choice A reason: While evacuation is typically the first course of action during an active shooter situation, it is not feasible if the shooter is rapidly approaching and exits are not accessible. In such scenarios, finding a safe place to hide is a better immediate response.

Choice B reason: Hiding in a room with no windows is an appropriate action when the shooter is nearby, and evacuation is not possible. Locking the door, turning off lights, and remaining silent can increase the chances of avoiding detection by the shooter. This response prioritizes immediate safety.

Choice C reason: Attacking the shooter should only be considered as a last resort when there are no other options for escape or hiding, and one's life is in imminent danger. It is not the next best action in this scenario when hiding is a viable option.

Choice D reason: Calling emergency services is crucial, but if the shooter is rapidly approaching, immediate action to protect oneself by hiding takes precedence. Once in a secure location, contacting emergency services should follow.

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The nurse working on the medical-surgical unit has delegated several patient care tasks to the unlicensed assistive personnel. What is the nurse's primary responsibility after the delegation of tasks?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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