A nurse is delegating tasks to assistive personnel. Which of the following should the nurse consider when using one of the five rights of delegation?
The AP's ability to complete the task without assistance
The AP's ability to prioritize
The AP's rapport with clients
The AP has the knowledge and skill to perform the task
The Correct Answer is D
Choice A reason: The AP's ability to complete the task without assistance is not one of the five rights of delegation. The nurse is responsible for providing adequate supervision and guidance to the AP, and ensuring that the task is done correctly and safely.
Choice B reason: The AP's ability to prioritize is not one of the five rights of delegation. The nurse is responsible for assigning tasks based on their urgency and importance and communicating clear expectations and deadlines to the AP.
Choice C reason: The AP's rapport with clients is not one of the five rights of delegation. The nurse is responsible for maintaining a therapeutic relationship with clients and respecting their preferences and needs.
Choice D reason: The AP has the knowledge and skill to perform the task is one of the five rights of delegation. The nurse is responsible for assessing the AP's competence and readiness to perform the task, and providing appropriate training and feedback if needed.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A: Limit fluid intake to prevent incontinence. This is incorrect because limiting fluid intake can lead to dehydration, urinary tract infections, and kidney stones. Fluid intake should be adequate to maintain hydration and flush out bacteria from the urinary tract.
Choice B: Provide regular perineal care to prevent skin breakdown. This is correct because reflex incontinence can cause urine leakage and skin irritation, which can increase the risk of infection and pressure ulcers. Regular perineal care can help keep the skin clean and dry, and prevent complications.
Choice C: Administer hypotonic IV fluids. This is incorrect because hypotonic IV fluids can cause fluid overload, hyponatremia, and cerebral edema. Hypotonic IV fluids are not indicated for clients with reflex incontinence.
Choice D: Teach Kegel exercises to strengthen the pelvic floor. This is incorrect because Kegel exercises are effective for clients with stress or urge incontinence, but not for clients with reflex incontinence. Reflex incontinence is caused by a loss of voluntary control over the bladder due to a spinal cord injury, and Kegel exercises cannot restore this function.
Correct Answer is D
Explanation
Choice A reason: Proactive prevention is not a level of prevention, but rather a type of prevention that involves taking action before a problem occurs or worsens. It can be applied to any level of prevention, such as primary, secondary, or tertiary.
Choice B reason: Secondary prevention is a level of prevention that involves detecting and treating diseases or injuries early before they cause significant complications or disabilities. It includes activities such as screening tests, diagnostic tests, or medications.
Choice C reason: Tertiary prevention is a level of prevention that involves reducing the impact and consequences of diseases or injuries that have already occurred and caused damage or impairment. It includes activities such as rehabilitation, surgery, or palliative care.
Choice D reason: Primary prevention is a level of prevention that involves preventing diseases or injuries from occurring in the first place, by eliminating or reducing risk factors or enhancing protective factors. It includes activities such as immunization, education, or lifestyle modification. Advising a client with osteoporosis to have three servings of milk or dairy products daily is an example of primary prevention because it aims to prevent further bone loss and fractures by increasing calcium intake.
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