A charge nurse is making staff assignments on a medical-surgical unit. Which of the following tasks should the nurse plan to delegate to an assistive personnel?

Pouching a client's ostomy bag for a new colostomy

Performing nasal hygiene for a client who has an NG tube

Measuring oxygen saturation for a client who has dyspnea

Inserting a rectal suppository for a client who is vomiting

Answer and Explanation

The Correct Answer is B

A.   Pouching a client's ostomy bag for a new colostomy requires specialized training and should typically be performed by a nurse.
B.   Performing nasal hygiene for a client with an NG tube involves basic hygiene tasks that can be safely delegated to an assistive personnel after proper training and supervision.
C.   Measuring oxygen saturation for a client who has dyspnea requires a basic skill that can be delegated to an assistive personnel.
D.   Inserting a rectal suppository for a vomiting client involves a nursing task that should be performed by a nurse due to the client's condition and the nature of the task.

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Correct Answer is D

Explanation

Choice A Rationale: While it is important to identify the staff member responsible for leaving sensitive information accessible, it is not the first action that should be taken. The immediate risk of a confidentiality breach must be addressed before investigating the cause.
Choice B Rationale: Notifying the charge nurse is a necessary step, but it is not the most immediate action required. The priority is to secure the confidentiality of the client's information.
Choice C Rationale: Informing the visitor about the confidentiality of records is crucial, but the first action should be to prevent further viewing of the information.
Choice D Rationale: Closing the computer program is the first and most direct action to secure the client's medical information and prevent any further unauthorized access. This action immediately addresses the privacy breach and protects the client's confidential information.

A. "A nurse can apply restraints on a PRN basis." B. "A nurse can disclose information to a family member with the client's permission." C. "A nurse is responsible for informing clients about treatment options." D. "A nurse can administer medications without consent to a client as part of a research study."

Correct Answer is B

Explanation

A. Restraints should be applied based on a specific, documented need, not on an as- needed (PRN) basis, to ensure client safety.
B. A nurse can disclose information to a family member with the client's permission. This statement respects the client's right to privacy and confidentiality.
C. It is the responsibility of the doctor and not nurses to inform clients about available treatment options.
D. Administering medications without consent for research purposes is ethically unacceptable and violates the client's rights to autonomy and informed consent.

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A charge nurse is making staff assignments on a medical-surgical unit. Which of the following tasks should the nurse plan to delegate to an assistive personnel?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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