A charge nurse is reviewing the list of tasks that have been delegated to the assistive personnel (AP) by the staff nurse. Which of the following tasks should the charge nurse reassign to a licensed nurse?
Removing and cleaning the cannula of a client who has a new tracheostomy
Providing a back rub to a client who has right-sided paralysis
Transporting a client who experienced a stroke 72 hr ago to the radiology department
Performing oral hygiene for a client who is 1 day postoperative following an amputation of the right arm
The Correct Answer is A
A. Removing and cleaning the cannula of a tracheostomy requires specialized training and should be performed by a licensed nurse or respiratory therapist.
B. Providing a back rub is within the scope of practice for assistive personnel and does not require specialized training.
C. Transporting a client to the radiology department does not require specialized nursing skills and can be safely performed by assistive personnel.
D. Performing oral hygiene for a client postoperative following an amputation does not require specialized nursing skills and can be safely performed by assistive personnel.
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Related Questions
Correct Answer is B
Explanation
A. Cleaning the peristomal skin four times a day may lead to excessive drying and irritation of the skin. The peristomal skin should be cleaned as needed, particularly when changing the
pouching system or if it becomes soiled with stool or urine.
B. Emptying the pouch when it is approximately 1/3 full prevents undue weight and tension on the skin barrier, reducing the risk of leakage and skin irritation.
C. Fecal content from an ileostomy is typically liquid or semi-liquid, rather than firm, due to the location of the stoma in the small intestine. Expecting firm fecal content would not be accurate for a client with an ileostomy.
D. While it is important to ensure a secure seal when applying the pouching system, holding
pressure on the skin barrier for 10 to 15 seconds may not be necessary. Instead, gentle pressure and smoothing around the barrier edges are usually sufficient to secure the seal. Holding pressure for too long may cause discomfort or skin trauma.
Correct Answer is C
Explanation
A. Scientific leadership involves making decisions based on data and evidence. This option doesn't fit the scenario described.
B. Laissez-faire leadership allows group members to make decisions without much interference from the leader. However, in this scenario, the charge nurse organizes a vote, indicating some
level of leadership involvement.
C. Democratic leadership involves seeking input from group members and making decisions through a process of discussion and voting, which aligns with the charge nurse's approach.
D. Autocratic leadership involves making decisions without input from others, which is not the case here where the charge nurse seeks input from the committee members.
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