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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Analysis/diagnosis involves identifying health problems based on assessment data.
B. Evaluation involves assessing the effectiveness of the interventions and progress towards goals, which is what the nurse is doing.
C. Implementation refers to carrying out the plan of care.
D. Planning involves setting goals and determining the best interventions, which precedes implementation and evaluation.
Correct Answer is A
Explanation
A. Asking the client what they know about support groups is open-ended and encourages discussion.
B. This statement is presumptive and may not be true for all clients.
C. This statement is stigmatizing and may be perceived as judgmental.
D. This statement takes away the client's autonomy and may lead to resistance.
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