A nurse is delegating client care assignments for the shift. Which of the following teks should the nurse delegate to an assistive personnel (AP)?
Measure and record intake and output for a client.
Teach a client about low-sodium foods.
Evaluate pain relief for a client following the administration of a pain medication.
Perform wound irrigation for a client.
The Correct Answer is A
A. Measuring and recording intake and output is within the scope of practice for an AP.
B. Teaching requires professional knowledge and is the responsibility of a nurse.
C. Evaluating pain relief requires critical thinking and assessment skills, which are within the nurse's scope of practice.
D. Wound irrigation is a skilled task that requires the expertise of a nurse.
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Related Questions
Correct Answer is D
Explanation
A. Administering pain medications aligns more closely with the principle of beneficence.
B. Providing emotional support aligns more closely with the principle of beneficence.
C. Performing dressing changes aligns more closely with the principle of beneficence.
D. Protecting clients from a health care provider under the influence of an opioid is an example of nonmaleficence, as it prevents harm to clients.
Correct Answer is C
Explanation
A. Inserting an indwelling urinary catheter requires specialized training and should only be performed by licensed personnel.
B. Taking an order over the telephone from a physician requires nursing judgment and should not be delegated to unlicensed personnel.
C. Bathing a combative client can be safely delegated to unlicensed assistive personnel (UAP) as it does not require specialized nursing knowledge.
D. Assessing a client's wound requires nursing assessment skills and should not be delegated to unlicensed personnel.
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