A nurse is caring for a group of clients. She plans to delegate obtaining morning vital signs to an assistive personnel (AP) on her team. Which of the following actions should the nurse plan to take?

Verify the AP's educational preparation prior to delegating the task.

Observe the AP as she obtains the vital signs of each client.

Determine the time frame the AP should report the results

Ask the AP to take the vital signs of the client returning from surgery first.

Answer and Explanation

The Correct Answer is C

Rationale:

A. Verify the AP's educational preparation prior to delegating the task is unnecessary if the AP has been trained and is competent in the task.

B. Observe the AP as she obtains the vital signs of each client is not required for routine tasks unless there is a concern about performance.

C. Determine the time frame the AP should report the results is crucial for ensuring timely and accurate reporting, which is necessary for effective patient care.

D. Ask the AP to take the vital signs of the client returning from surgery first might not be appropriate without considering the urgency of all clients’ conditions.

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Correct Answer is C

Explanation

Rationale:

A. Asking about discharge is a general inquiry that does not require immediate follow-up unless it’s related to specific discharge planning.

B. Changing the dressing is a routine postoperative care task and doesn’t necessarily require follow-up unless there’s a concern about the procedure.

C. Not receiving medications is a critical issue that needs immediate attention to address potential gaps in treatment.

D. Not knowing how to use the remote control is a minor issue that does not require clinical follow-up.

A. "I want you to review the facility's policy on personal attire before you begin the shift." B. "There is a higher risk of infection for our clients associated with artificial nails." C. "Why would you wear artificial nails to work when you know it's against the rules?" D. "You should know that artificial nails have a very unprofessional appearance."

Correct Answer is B

Explanation

Rationale:

A. "I want you to review the facility's policy on personal attire before you begin the shift." does not address the specific concern regarding infection risk related to artificial nails.

B. "There is a higher risk of infection for our clients associated with artificial nails." provides a clear and factual explanation of why artificial nails are not appropriate, focusing on client safety rather than personal appearance or policy.

C. "Why would you wear artificial nails to work when you know it's against the rules?" is confrontational and does not address the issue in a constructive manner.

D. "You should know that artificial nails have a very unprofessional appearance." focuses on appearance rather than the potential risk to clients' health.

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A nurse is caring for a group of clients. She plans to delegate obtaining morning vital signs to an assistive personnel (AP) on her team. Which of the following actions should the nurse plan to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is supervising a licensed practical nurse (PN) who is providing care to a client who is postoperative. Which of the following statements by the client requires the nurse to follow up with the PN?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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