A nurse is planning to assign care activities to the assistive personnel (AP) on her team. Which of the following activities can the nurse assign to the AP? (Select all that apply.)

Check the position of a client in soft wrist restraints.

Accompany a client who has depression to occupational therapy.

Set limits with a client who has mania.

Sit with a client who has alcohol use disorder and whose last drink was five days ago.

Assess a client who has hypomania for exhaustion.

Answer and Explanation

Correct Answer : A,B,D

Rationale:

A. Check the position of a client in soft wrist restraints is appropriate for an AP as it involves routine monitoring and ensuring the client's safety.

B. Accompany a client who has depression to occupational therapy is a task that can be assigned to an AP, as it involves providing support and ensuring the client's safe arrival to therapy.

C. Set limits with a client who has mania is not appropriate for an AP, as this involves therapeutic communication and behavior management, which requires nursing judgment.

D. Sit with a client who has alcohol use disorder and whose last drink was five days ago can be assigned to an AP as it involves providing a supportive presence and monitoring, but the nurse should assess for withdrawal symptoms.

E. Assess a client who has hypomania for exhaustion is a nursing responsibility that involves evaluation and judgment, making it inappropriate to delegate to an AP.

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Correct Answer is C

Explanation

Rationale:

A. Verify the AP's educational preparation prior to delegating the task is unnecessary if the AP has been trained and is competent in the task.

B. Observe the AP as she obtains the vital signs of each client is not required for routine tasks unless there is a concern about performance.

C. Determine the time frame the AP should report the results is crucial for ensuring timely and accurate reporting, which is necessary for effective patient care.

D. Ask the AP to take the vital signs of the client returning from surgery first might not be appropriate without considering the urgency of all clients’ conditions.

A. Teach a client about low-sodium foods. B. Measure and record intake and output for a client. C. Perform wound irrigation for a client. D. Evaluate pain relief for a client following the administration of a pain medication.

Correct Answer is B

Explanation

Rationale:

A. Teaching about low-sodium foods requires specialized knowledge and should be performed by an RN.

B. Measuring and recording intake and output can be done by an AP, as it involves routine data collection rather than clinical judgment.

C. Wound irrigation is a more complex procedure that requires clinical skills and should be performed by an RN or LPN.

D. Evaluating pain relief involves clinical assessment and judgment, which is beyond the scope of an AP.

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A nurse is planning to assign care activities to the assistive personnel (AP) on her team. Which of the following activities can the nurse assign to the AP? (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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