A nurse is preparing to administer ondansetron 0.15 mg/kg IV bolus every 4 hr. The client weighs 41 kg (92 lb). How many mg should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A. Provide discharge instructions: Delivering discharge teaching requires nursing judgment, individualized education, and assessment of the client’s understanding. This task cannot be delegated to assistive personnel because it involves critical thinking and evaluation to ensure safe and effective patient self-care.

B. Perform chest compressions during cardiac resuscitation: Performing chest compressions is a technical skill that does not require nursing judgment and can be safely delegated to assistive personnel. During a code, APs can provide life-saving support under the direction of the RN or code team, making this task appropriate for delegation.

C. Perform a dressing change for a new amputee: Changing a surgical dressing, particularly for a new amputation, requires assessment of the wound, monitoring for signs of infection, and clinical judgment regarding complications. This task should remain the responsibility of the RN and is not suitable for delegation to an AP.

D. Assess effectiveness of antiemetic medication: Evaluating medication effectiveness involves clinical assessment and interpretation of patient response. This requires professional nursing judgment and cannot be delegated, as the RN must decide if additional interventions or medications are necessary.

A. Holding the newborn in an en face position: Positioning the newborn face-to-face with the parent promotes eye contact and bonding. This action supports healthy attachment and is encouraged during early interactions.

B. Asking the father to change the newborn's diaper: Involving another caregiver in newborn care is appropriate and promotes family bonding. It does not indicate a problem with maternal-infant attachment.

C. Viewing the newborn's actions to be uncooperative: Interpreting normal newborn behaviors, such as crying or squirming, as deliberate uncooperativeness may indicate difficulty in bonding or unrealistic expectations. The nurse should intervene to provide guidance on normal newborn behavior and support attachment.

D. Requesting the nurse take the newborn to the nursery so she can rest: Asking for rest is appropriate, especially if the mother is fatigued. Temporary separation does not negatively impact bonding if the mother is able to interact and care for the newborn afterward.