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
The correct answer is Choice B: Nursing Scope and Standards of Practice.
Choice A rationale:
The Code of Ethics for Nurses provides guidelines on ethical practice but does not specifically address pay.
Choice B rationale:
The Nursing Scope and Standards of Practice outlines the professional standards, including aspects related to compensation and benefits, which can help guide a nurse in understanding pay scales and expectations.
Choice C rationale:
American Nurses Association Position Statements provide guidance on various issues but are not focused on pay.
Choice D rationale:
Principles of Nursing Practice offer a framework for nursing care but do not specifically address salary or compensation.
Correct Answer is D
Explanation
Choice A rationale:
Requesting assistance from the client's room is a reasonable action in the healthcare setting. However, when teaching about cell phone use in the workplace, it's important to emphasize the importance of maintaining patient privacy and confidentiality. Using a cell phone to request assistance inside the client's room may compromise patient privacy, and it's generally not an appropriate use of a cell phone in a healthcare setting.
Choice B rationale:
Sending a personal text to a co-worker during work hours can be distracting and unprofessional. It can divert the nurse's attention away from patient care and may not be allowed in the workplace policy. This choice should not be encouraged when teaching about cell phone use in the healthcare setting.
Choice C rationale:
Calling the client's family member per their request can be an acceptable use of a cell phone in the workplace, especially if it's related to patient care or communication with the patient's loved ones. However, it's essential to stress the importance of patient privacy and obtaining appropriate consent when discussing patient information over the phone.
Choice D rationale:
Taking a photo of a client's incision site for learning purposes can be a valuable educational tool, as long as it is done with the appropriate consent and complies with institutional policies. It allows healthcare professionals to document and learn from clinical experiences. However, it is crucial to emphasize the need for patient consent, privacy, and the ethical use of such images.
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