36: A nurse is delegating care for a group of four clients. Which of the following tasks should the nurse delegate to an assistive person?

Irrigate and perform a dressing change for a client who has a pressure injury wound.

Obtain a daily weight on a client who has heart failure.

Teach the use of an incentive spirometer to a postoperative client.

Administer oral PRN pain medication to a client who has arthritis.

Answer and Explanation

The Correct Answer is B

A. Irrigate and perform a dressing change for a client who has a pressure injury wound: This task requires specialized knowledge and skill, particularly in wound care management. It involves assessing the wound, choosing appropriate dressings, and monitoring for signs of infection, which are beyond the scope of duties for assistive personnel.
B. Obtain a daily weight on a client who has heart failure: This task is suitable for delegation to an assistive person because it is a routine, non-invasive procedure that does not require clinical judgment or assessment. It helps in monitoring the client's condition, especially in heart failure management.
C. Teach the use of an incentive spirometer to a postoperative client: Teaching involves educating the client on the proper technique and benefits of using the device, which requires nursing judgment and the ability to address questions or concerns. This task should be performed by a nurse.
D. Administer oral PRN pain medication to a client who has arthritis: Administering medications involves evaluating the client’s pain level, assessing potential side effects, and ensuring the correct medication is given, which requires a nurse’s clinical judgment and knowledge.

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Correct Answer is C

Explanation

A. Grandparents: While grandparents can provide useful information, the primary and most accurate data source for a toddler's immediate care and developmental history would typically be the parents, who are the primary caregivers.
B. Admitting provider: The admitting provider offers valuable medical information, but the best source of data regarding the child’s current condition and history would come from those who are closest to the child and involved in their daily care.
C. Parents: Parents are the most reliable source for accurate and up-to-date information about their child’s health, developmental history, and current condition. They are directly involved in the child's daily life and care.
D. Medical record: While the medical record contains important historical data, the most current and relevant information about the toddler’s condition and immediate needs should be obtained from the parents.

A. Grandparents B. Admitting provider C. Parents D. Medical record

Correct Answer is C

Explanation

A. Grandparents: While grandparents can provide valuable information, parents are typically the primary source of information about a child’s medical history, current symptoms, and behavioral changes.
B. Admitting provider: The admitting provider's role is to assess and diagnose the client. While they provide essential clinical information, they are not the primary source for personal and historical data about the client.
C. Parents: Parents are the most reliable source of information regarding the toddler's medical history, current condition, and any changes in behavior or health. They are most familiar with the child’s day-to-day health and medical background.
D. Medical record: Although the medical record contains important information, it may not have the most recent updates or contextual details that parents can provide. It is important to corroborate the information in the medical record with input from the parents.

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36: A nurse is delegating care for a group of four clients. Which of the following tasks should the nurse delegate to an assistive person?

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Naxlex Comprehensive Predictor Exams

The nurse working in the ER is admitting a toddler to the orthopedic unit. The parents and grandparents are at bedside. What should the nurse use as the best source of data for this client?

Correct Answer is C

Explanation

The nurse working in the ER is admitting a toddler to the orthopedic unit. The parents and grandparents are at bedside. What should the nurse use as the best source of data for this client?

Correct Answer is C

Explanation

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