A nurse is assisting in the care of a client.
A nurse is assisting in planning care for the client. Which of the following tasks should the nurse recommend to delegate to the staff member assigned as a safe sitter?
Select the 3 tasks the nurse should recommend to delegate.
Ambulate with the client to bathroom.
Document the client's vital signs.
Assist the client with eating.
Administer PRN medication to the client.
Notify the provider about the client's forearm.
Correct Answer : A,B,C
A. Ambulate with the client to bathroom. Safe sitters can assist with ambulation, ensuring the client’s safety while moving.
B. Document the client's vital signs. Safe sitters can document routine measurements like vital signs.
C. Assist the client with eating. Safe sitters can help clients with basic needs such as eating.
D. Administer PRN medication to the client. Administering medication requires clinical judgment and is within the scope of practice for licensed nurses, not safe sitters.
E. Notify the provider about the client's forearm. Communicating with providers about clinical concerns requires clinical judgment and is the responsibility of licensed nurses.
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Related Questions
Correct Answer is C
Explanation
A. Wearing protective eyewear is not typically required for dressing changes unless there is a risk of splashing or spraying of fluids.
B. A mask is not necessary for dressing changes unless there is a risk of respiratory droplet transmission, which is not applicable in this situation.
C. Using dedicated equipment for the client is crucial to prevent the spread of MRSA and ensure infection control.
D. Turning on the HEPA filtration system is not a standard practice for dressing changes and does not specifically address the infection control needs of the client with MRSA.
Correct Answer is C,D,A,B
Explanation
A. The statement detailing the temperature of 39.5 degrees C (103.1 degrees F) represents the Assessment (A) phase, where the nurse shares the objective physical findings and clinical measurements gathered during the client evaluation. This logically follows the background context.
B. Requesting a prescription for a sputum culture represents the Recommendation (R) phase, which is the final step of the communication framework. In this phase, the nurse proposes a specific action or intervention to the provider to address the identified problem.
C. The statement regarding the report of increasing shortness of breath represents the Situation (S) phase, which must be presented first. This step establishes the immediate reason for the communication and states the current clinical problem.
D. The statement noting that the client has COPD represents the Background (B) phase, which is the second step. This provides the essential clinical history and context surrounding the client to help the provider understand the underlying factors related to the current situation.
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