A nurse is planning to assign tasks for a group of clients. Which of the following tasks should the nurse plan to assign to an assistive personnel (AP)? (Select all that apply.)

Ambulate an older adult client who has hypertension.

Provide discharge instructions for a client who has a new skin graft.

Check a blood product with another nurse prior to administration.

Weigh a client who has heart failure.

Perform an admission assessment on a client.

Answer and Explanation

Correct Answer : A,D

Rationale:

A. Ambulate an older adult client who has hypertension is a task that an AP can perform, provided the client is stable and has been assessed by the nurse.

B. Provide discharge instructions for a client who has a new skin graft is a task that requires nursing judgment and cannot be delegated to an AP.

C. Check a blood product with another nurse prior to administration is a nursing responsibility that requires verification by licensed personnel and cannot be delegated to an AP.

D. Weigh a client who has heart failure is appropriate for an AP, as it involves routine measurement that can be delegated.

E. Perform an admission assessment on a client is a nursing responsibility and cannot be delegated to an AP.

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Correct Answer is B

Explanation

Rationale:

A. Fill the bath basin with tap water that is 39° C (102.2° F) is too warm for bathing; the recommended water temperature is typically around 37°C (98.6°F) to prevent burns or discomfort.

B. Pull the curtain around the client's bed ensures privacy for the client during the bath, which is important for maintaining dignity and confidentiality.

C. Wash the client's arms and hands first is not necessarily the first step; typically, washing the face and then moving to the rest of the body is preferred.

D. Use a washcloth to wipe the client's eyes from the outer canthus to the inner canthus is incorrect as it should be done from the inner canthus to the outer canthus to avoid spreading any discharge across the eye.

A. Prescribing naloxone to reverse the effects of the morphine B. Asking the client to sign the surgical consent form C. Delaying the surgery until a member of the client's family is reached D. Invoking implied consent

Correct Answer is D

Explanation

Rationale:

A. Naloxone would reverse morphine effects, which is not relevant to the immediate need for surgical intervention.

B. The client might not be able to sign the consent if under the effects of morphine, and obtaining consent might be delayed.

C. Delaying surgery might not be appropriate if the client’s condition is critical and requires urgent intervention.

D. Implied consent is used in emergencies when a patient cannot provide consent due to their condition, and it is assumed they would consent to life-saving treatment.

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A nurse is planning to assign tasks for a group of clients. Which of the following tasks should the nurse plan to assign to an assistive personnel (AP)? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to bathe a client. Which of the following actions should the nurse plan to take?

Correct Answer is B

Explanation

Correct Answer is D

Explanation

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