A nurse is delegating client care assignments for the upcoming shift. Which of the following tasks should the nurse plan to delegate to the assistive personnel (AP)?
Collecting intake and output.
Evaluating pain relief after administering pain medication.
Providing a central line dressing change.
Selecting a menu for a low-sodium diet.
The Correct Answer is A
Assistive personnel (AP), also known as unlicensed assistive personnel (UAP), can perform tasks such as recording vital signs ¹. Collecting intake and output [a] is a task that can be delegated to an AP.
The other options are not tasks that should be delegated to an AP.
Evaluating pain relief after administering pain medication [b] involves assessing the effectiveness of a medical intervention, which is typically the responsibility of a licensed nurse.
Providing a central line dressing change [c] is a complex task that requires specialized knowledge and skills.
Selecting a menu for a low-sodium diet [d] involves dietary planning, which is typically the responsibility of a licensed nurse or a registered dietitian.
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Correct Answer is D
Explanation
If a nurse overhears two assistive personnel (AP) discussing a client who is currently hospitalized in the hospital cafeteria, the appropriate action for the nurse to take is to quietly tell the APs that the conversation is inappropriate. This will allow the nurse to address the issue in a respectful and professional manner and remind the APs of their responsibility to maintain client confidentiality.
Option A is incorrect because completing an incident report may be necessary, but it should not be the first action taken.
Option B is incorrect because reporting the incident to the provider is not an appropriate action in this situation.
Option C is incorrect because documenting the occurrence in the client's medical record is not an appropriate action in this situation.
Correct Answer is B
Explanation
The nurse should include the statement "Delegation permits a designated individual to meet a goal on your behalf" in the teaching. This is because delegation allows the nurse to assign tasks to an AP who has the appropriate skills and knowledge to complete them, while still maintaining accountability for the outcome of the task.
Option A is incorrect because accountability for a delegated task remains with the delegator, not the AP.
Option C is incorrect because discharge teaching activities for clients cannot be delegated to an AP as they require nursing judgment and assessment.
Option D is incorrect because it is important for the nurse to follow up on delegated tasks even if the AP has completed them before to ensure that they have been completed correctly and that the client's needs have been met.
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