A nurse is planning to delegate care for a male client who has anemia

Exhibits
Select the tasks the nurse should plan to assign to an assistive personnel (AP). Select all that apply.

Measure the client's urine output.

Reinforce teaching with the client about the transfusion.

Insert a peripheral IV.

Check the client's vital signs every 15 min.

Obtain daily weights on the client.

Answer and Explanation

Correct Answer : A,E

Rationale:
A. Measuring urine output is a routine, stable task that can be safely delegated to an assistive personnel (AP).
B. Reinforcing teaching about the transfusion requires nursing knowledge and judgment and cannot be delegated.
C. Inserting a peripheral IV is an invasive procedure requiring nursing skill and licensure, so it cannot be delegated.
D. Checking vital signs every 15 minutes during a blood transfusion requires assessment for transfusion reactions and immediate nursing intervention, so it must be performed by a nurse.
E. Obtaining daily weights is a routine measurement that an AP can safely perform.

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Correct Answer is A

Explanation

Rationale:
A. Alcohol-based hand sanitizer is not effective against C. difficile spores. Hands must be washed with soap and water to physically remove the spores, making this action unsafe and requiring intervention.
B. Wearing a mask when caring for a client who has varicella is appropriate for airborne precautions.
C. Closing the door of a client on airborne precautions helps contain infectious particles and is correct.
D. Removing cut flowers from the room of a client in a protective environment is appropriate to reduce the risk of infection.

A. Living will B. Good Samaritan Act C. Joint liability D. Implied consent

Correct Answer is D

Explanation

Rationale:
A. A living will provides instructions for end-of-life care but does not authorize emergency surgical procedures.
B. The Good Samaritan Act protects healthcare providers who give emergency care outside a healthcare setting, not in-hospital surgical consent.
C. Joint liability refers to shared legal responsibility and is not related to consent for treatment.
D. Implied consent allows healthcare providers to perform emergency procedures when a client is unconscious or unable to give consent, and no legal representative is available, making it the correct legal guideline in this scenario.

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A nurse is planning to delegate care for a male client who has anemia Exhibits Select the tasks the nurse should plan to assign to an assistive personnel (AP). Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

Correct Answer is D

Explanation

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A nurse is planning to delegate care for a male client who has anemia

Exhibits
Select the tasks the nurse should plan to assign to an assistive personnel (AP). Select all that apply.