Which of the following tasks could the RN delegate to the unlicensed assistive personnel (UAP)?
Irrigate the NG tube with water that is connected to suction for a post-operative client
Perform digital removal of stool on a client who is constipated
Measure the amount of stool in the client’s colostomy bag
Change the saturated central line dressing
The Correct Answer is C
Choice A reason: Irrigating an NG tube involves assessing patency and suction, which requires clinical judgment beyond UAP scope. This task involves potential complications (e.g., aspiration), making it inappropriate for delegation to unlicensed personnel.
Choice B reason: Performing digital removal of stool is a skilled procedure with risks (e.g., vagal stimulation, bleeding), requiring RN expertise. It is outside the UAP scope, as it involves invasive intervention and assessment, making it inappropriate for delegation.
Choice C reason: Measuring stool in a colostomy bag is a routine, non-invasive task within UAP scope, involving observation and reporting output. It requires no clinical judgment or sterile technique, making it the most appropriate task for delegation to unlicensed personnel.
Choice D reason: Changing a central line dressing requires sterile technique and assessment for infection, which are RN responsibilities. UAPs lack training for sterile procedures and complex site evaluation, making this task inappropriate for delegation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B,D,A,C
Explanation
Choice A reason: Closing doors first (1, 2, 3, 4) delays activating the alarm and evacuating the client, risking patient safety and delayed response. Activating the alarm and ensuring patient safety are higher priorities, making this incorrect.
Choice B reason: The RACE protocol (Rescue, Alarm, Contain, Contain Extinguish) prioritizes: activating the alarm (2) to notify others, moving the client (4) to safety, closing doors (1) to contain the fire, and extinguishing (3) if safe, making this correct.
Choice C reason: Moving the client first (4, 2, 3, 1) delays notifying others via the alarm, risking broader safety. The alarm ensures a coordinated response, followed by evacuation, making this order incorrect.
Choice D reason: Activating the alarm first (2, 1, 3, 4) is correct, but extinguishing before moving the client (4) risks patient exposure. Evacuation precedes extinguishing, as per RACE, making this order incorrect.
Correct Answer is B
Explanation
Choice A reason: 0.8 mg assumes two 0.4-mg tablets, but the patient took three. Nitroglycerin gr 1/150 equals 0.4 mg per tablet, so three tablets total 1.2 mg, making 0.8 mg incorrect.
Choice B reason: Nitroglycerin gr 1/150 is 0.4 mg per tablet. Three tablets (0.4 mg × 3 = 1.2 mg) were taken, matching the order. Rounded to the nearest tenth, 1.2 mg is correct.
Choice C reason: 1.6 mg assumes four 0.4-mg tablets or a miscalculation. The patient took three tablets (1.2 mg total), making 1.6 mg incorrect for the administered dose.
Choice D reason: 2.0 mg significantly overestimates the dose. Three 0.4-mg tablets total 1.2 mg, not 2.0 mg, making this incorrect based on the supplied medication strength.
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