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 A

Explanation

Rationale:

A. The physiologic status of the clients is the most critical factor in assigning tasks, ensuring that clients with more complex needs receive appropriate care.

B. Social relationships are secondary to patient safety and quality of care.

C. Personal comfort level should not influence assignment decisions; patient care needs are the priority.

D. Assigning the most experienced nurse to complex clients is appropriate, but it should be based on client needs rather than just experience alone.

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.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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