A nurse in a long-term care facility is delegating care for a group of clients for the oncoming shift. Which of the following tasks should the nurse delegate to an assistive personnel? (Select all that apply.)
Plan care for a client who has dysphagia.
Transfer a client who is receiving radiation therapy to radiology.
Record urine output for a client who has a suprapubic catheter
Measure vital signs for a client who requires contact precautions.
Correct Answer : B,C,D
A. Planning care, especially for a client with dysphagia (difficulty swallowing), involves assessment, evaluation, and critical thinking, which are within the scope of practice for licensed nurses, not APs. This task should not be delegated to an AP.
B. Transferring a client, especially one undergoing radiation therapy, often involves understanding specific precautions and handling techniques. This task is generally within the scope of APs, provided they have proper training and understand any specific precautions related to the client's condition.
C. Recording urine output is ataskthat can be delegated to an assistive personnel under the supervision of a registerednurse, as they do not require nursing judgment or assessment skills.
D. Measuring vital signs is a taskthat can be delegated to an assistive personnel under the supervision of a registered nurse, as they do not require nursing judgment or assessment skills.
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Related Questions
Correct Answer is B
Explanation
The correct answer is B.
Information regarding client health can be e-mailed if encrypted. The nurse should follow the Health Insurance Portability and Accountability Act (HIPAA) guidelines to protect client privacy and confidentiality. According to HIPAA, health information can be transmitted electronically if it is encrypted or otherwise secured.
Unwanted printed health information should be shredded or disposed of in a secure bin, not a trash can. Members of a healthcare team should not share a computer password or leave a computer unattended when accessing client information. A client has the right to access his own medical records and request amendments or corrections.
Correct Answer is B
Explanation
When a client is receiving gentamicin via IV infusion, it's essential to monitor for potential adverse effects. One of the well-known adverse effects of gentamicin is ototoxicity, which can manifest as hearing loss. Therefore, the nurse should identify the following manifestation as an adverse effect of the treatment:
B) New onset of hearing loss
Hypotension (option A), hyperthermia (option C), and slurred speech (option D) are not typically associated with gentamicin use and would be less likely to be related to the treatment. However, it's essential to assess the client for other side effects and monitor their overall condition while receiving gentamicin to ensure their safety and well-being.
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