The nursing staff on a medical unit includes a registered nurse (RN), practical nurse (PN), and an unlicensed assistive personnel (UAP). Which task should the charge nurse assign to the RN?

Administer PRN oral analgesics to a client with a history of chronic pain.

Transport a client who is receiving IV fluids to the radiology department.

Supervise a newly hired graduate nurse during an admission assessment.

Complete ongoing focused assessments of a client with wrist restraints.

Answer and Explanation

The Correct Answer is C

A. Administering PRN oral analgesics can be managed by both RNs and PNs, as this task does not require advanced assessment or decision-making.

B. Transporting a client who is receiving IV fluids can be safely done by UAPs with appropriate supervision.

C. The RN is responsible for the supervision of other nursing staff and the orientation of new hires. Evaluating the competency of a graduate nurse during a complex task like an admission assessment cannot be delegated to a PN or UAP. An "admission assessment" is the initial comprehensive evaluation of a client. In most nursing jurisdictions, the initial assessment and the development of the nursing care plan are strictly the responsibility of the RN.

D. While the RN is responsible for the overall care plan of a restrained client, ongoing focused assessments (such as checking circulation, skin integrity, and pulse) for a client in restraints can often be delegated to a PN once the initial assessment and necessity for the restraint have been established by the RN.

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Correct Answer is C

Explanation

A. The administration of intramuscular injections can be handled by a practical nurse.

B. Fatigue management and monitoring during radiation treatments can also be managed by a practical nurse.

C. The decision to switch to palliative care involves complex conversations and ethical considerations, requiring the assessment and intervention skills of an RN.

D. Post-biopsy care and monitoring, especially with a benign diagnosis, can be managed by a practical nurse.

A. Reassure the client that the client's child will be allowed to visit. B. Obtain a detailed report from the nurse transferring the client. C. Provide the client written information about end-of-life care. D. Mark the chart with client's request for no heroic measures.

Correct Answer is B

Explanation

A. While reassuring the client about visiting arrangements is supportive, it is not as critical for ensuring continuity of care.

B. Obtaining a detailed report from the transferring nurse is crucial to ensure all relevant information and the client’s wishes are communicated effectively.

C. Providing written information about end-of-life care is helpful but secondary to ensuring accurate communication of the client’s care preferences.

D. Marking the chart is important, but the immediate priority is ensuring the complete and accurate transfer of care information.

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The nursing staff on a medical unit includes a registered nurse (RN), practical nurse (PN), and an unlicensed assistive personnel (UAP). Which task should the charge nurse assign to the RN?

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