A nurse is planning care for clients.
Which of the following tasks can the nurse delegate to an assistive personnel (AP)?
Providing tracheostomy care for a client.
Assessing a client who just returned from surgery.
Teaching a client who is preoperative how to use an incentive spirometer.
Obtaining a blood pressure for a client who is to be discharged later in the day.
The Correct Answer is D
The correct answer is Choice D: Obtaining a blood pressure for a client who is to be discharged later in the day.
Choice A rationale:
Providing tracheostomy care requires specialized training and assessment skills, which are beyond the scope of practice for assistive personnel (AP).
Choice B rationale:
Assessing a client who just returned from surgery involves clinical judgment and decision-making, which are responsibilities of a licensed nurse, not assistive personnel.
Choice C rationale:
Teaching a client how to use an incentive spirometer requires patient education skills and the ability to assess the client's understanding, which are tasks for a licensed nurse.
Choice D rationale:
Obtaining a blood pressure is a routine task that can be delegated to assistive personnel, as it does not require advanced clinical judgment or specialized training.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Quality of practice involves the nurse's competence in providing care to patients and ensuring that the care meets established standards. Violating the quality of practice standard would typically involve issues related to the quality and safety of care provided. In this scenario, the nurse's violation is related to accessing a client's medical record without being involved in their care, which is an ethical breach rather than a violation of the quality of practice standard.
Choice B rationale:
Code of ethics is the standard of professional performance that the nurse is violating. Accessing a client's medical record without being involved in their care is a violation of the ethical principles outlined in the Code of Ethics for Nurses. This action breaches patient confidentiality and privacy, which are fundamental ethical obligations for nurses.
Choice C rationale:
Collaboration involves working effectively with other healthcare professionals to provide optimal patient care. Violations of the collaboration standard would typically involve issues related to teamwork, communication, and interdisciplinary relationships. The scenario described does not pertain to collaboration but rather concerns ethical conduct.
Choice D rationale:
Evidence-based practice refers to the integration of current research evidence into clinical decision-making and patient care. Violations of evidence-based practice would involve not following the latest research and best practices in patient care. In this case, the nurse's violation is related to ethical principles and patient privacy rather than evidence-based practice.
Correct Answer is A
Explanation
The correct answer is Choice A: Coordinates all healthcare client has received into one platform.
Choice A rationale:
Electronic health records (EHRs) integrate all of a patient's healthcare information into one centralized platform, making it easier for healthcare providers to access and coordinate care.
Choice B rationale:
While EHRs can allow for sharing information with authorized individuals, granting significant other access to client information is not a primary function of EHRs and requires specific consent and permissions.
Choice C rationale:
EHRs do provide information that can be used for research studies, but this is not a primary benefit emphasized in patient education.
Choice D rationale:
EHRs do allow clients to access their medical records electronically, but this is not the primary focus of the teaching about the benefits of EHRs.
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