A nurse is assigning care to an assistive personnel (AP). Which of the following tasks should the nurse delegate to the AP?
Educating a client on the use of a blood glucose monitor.
Interpreting a client's vital signs.
Performing a central line dressing change for a client.
Providing postmortem care for a client who has died.
The Correct Answer is D
Assistive personnel (AP), also known as unlicensed assistive personnel (UAP), can perform tasks such as assisting with activities of daily living, hygiene, and nutrition, as well as those tasks that support professional nursing assessments ². Providing postmortem care for a client who has died [d] is a task that can be delegated to an AP.
The other options are not tasks that should be delegated to an AP. Educating a client on the use of a blood glucose monitor [a] involves patient education, which is typically the responsibility of a licensed nurse.
Interpreting a client's vital signs [b] involves assessing the client's health status, which is also typically the responsibility of a licensed nurse. Performing a central line dressing change for a client [c] is a complex task that requires specialized knowledge and skills.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D","F"]
Explanation
Situations that can lead to a tort against a nurse include repeating a rumor about a patient's personal life in a staff meeting, telling friends something unusual about a patient that was noted in the patient's chart, and forcing a patient to take medication against their will. These actions can result in legal action against the nurse for invasion of privacy or battery.
Option A is incorrect because referring a stranger to the patient or their family for details regarding the patient is an appropriate action.
Option Bis incorrect because respecting a patient's right to refuse treatment on religious grounds is an appropriate action.
Option Eis incorrect because placing an alarm on the bed of a patient prone to falling is an appropriate action to ensure their safety.
Correct Answer is C
Explanation
The correct answer is Choice C.
Choice A rationale: A client who had a blood transfusion and has a blood pressure of 138/76 mm Hg. This client is stable. The blood pressure is within normal range, indicating that the client is not experiencing a transfusion reaction, which could cause hypotension. Therefore, this client is not the highest priority.
Choice B rationale: A client who has skeletal traction for a femur fracture and reports incisional discomfort of 4 on a scale of 0 to 10. While pain management is an important aspect of client care, a pain level of 4 indicates that the client’s pain is manageable. Therefore, this client is not the highest priority.
Choice C rationale: A client who is 4 hours postoperative following a total hip arthroplasty and has a urinary output of 15 mL/hr. This client is showing signs of oliguria, which could indicate a serious complication such as hypovolemia or acute kidney injury. This client is the highest priority because these complications can lead to further serious issues such as shock or end-organ damage if not addressed promptly.
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