A nurse is assigning care for four clients. Which of the following tasks should the nurse plan to delegate to an assistive personnel (AP)?
Instruct a client how to take their blood pressure.
Administer subcutaneous medications to a client.
Determine a client's intake and output.
Provide a status update to a client's family member.
The Correct Answer is C
The correct answer is Choice C.
Choice A rationale:
Instructing a client on how to take their blood pressure is a task that involves providing education to the client on a non-invasive procedure that they can perform independently. However, this task requires a certain level of knowledge and understanding that an assistive personnel (AP) may not possess. Therefore, it is not the best task to delegate to an AP.
Choice B rationale:
Administering subcutaneous medications to a client is a task that requires a high level of skill and knowledge. It involves understanding the medication, its side effects, and the correct administration technique. This is a task that should be performed by a nurse or a healthcare professional with the appropriate training and licensure. Delegating this task to an AP could potentially put the client’s health at risk.
Choice C rationale:
Determining a client’s intake and output is a task that can be delegated to an AP. This task does not require the use of the nursing process and is within the range of function of an AP. It involves measuring and recording the amount of fluid a client consumes and excretes, which is a task that an AP is capable of performing.
Choice D rationale:
Providing a status update to a client’s family member is a task that requires a high level of discretion and understanding of the client’s condition. It involves communicating sensitive information about the client’s health status, which should be done by a nurse or a healthcare professional with the appropriate training and licensure. Delegating this task to an AP could potentially lead to miscommunication or a breach of the client’s privacy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
The correct answers are choices A, C, D, and E:
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Choice A rationale: The right to be treated with respect and dignity is a fundamental client right in any healthcare setting, including long-term care facilities. This right ensures that clients receive care in a compassionate and respectful manner.
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Choice B rationale: Full access to the facility is not a standard client right in long-term care facilities. Access to certain areas might be restricted for safety reasons or to maintain privacy.
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Choice C rationale: The right to refuse medications is an essential aspect of client autonomy, allowing clients to make informed decisions about their care. It is important to address this right during orientation.
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Choice D rationale: The right to leave regardless of provider recommendations is another aspect of client autonomy. Clients should be informed of their right to refuse care or leave the facility if they wish, even if it goes against the advice of healthcare providers.
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Choice E rationale: The right to be fully informed of their health conditions is a crucial aspect of client autonomy and transparency in healthcare. Clients should be aware of their health status and treatment options to make informed decisions about their care.
In conclusion, when conducting an orientation class for new clients and their families at a long-term care facility, the nurse should address the rights to be treated with respect and dignity, refuse medications, leave the facility (even if it is against the recommendations of healthcare providers), and be fully informed of their health conditions.
Correct Answer is C
Explanation
Choice A rationale:
The age of the client might influence the care plan and potential complications, but it's not the primary factor for evaluating cost effectiveness. Cost efficiency is more directly related to the resources utilized during the client's stay.
Choice B rationale:
The availability of community support groups contributes to the client's psychosocial well-being and support network, but it doesn't directly assist in evaluating the cost effectiveness of care. This factor focuses more on the quality of life after discharge.
Choice C rationale:
This is the correct choice. The length of the client's stay directly impacts the cost of care. A longer stay involves more resources, medications, and services, leading to increased costs. Evaluating and optimizing the length of stay is a critical aspect of cost-effective care.
Choice D rationale:
The type of insurance the client carries affects their financial responsibility for the care received, but it's not the main consideration for evaluating cost effectiveness. It primarily influences the patient's out-of-pocket expenses rather than the overall cost of care.
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