A nurse is training a newly licensed nurse. The newly licensed nurse asks if she can delegate the task of weighing several clients to an assistive personnel (AP). Which of the following responses should the nurse make?
"You can delegate this task if the AP has been trained to use our scales."
"You should not delegate this task because you have the capability to obtain clients' weights.”
"You should not delegate this task because it requires nursing judgment."
"You can delegate this task to an AP for new clients before performing a nursing assessment.”
The Correct Answer is A
A. Weighing clients is within the scope of an assistive personnel’s role, provided they have been properly trained in using facility equipment and understand the procedure. The nurse retains responsibility for ensuring the accuracy of the data and interpreting it.
B. This response focuses on the nurse’s ability rather than appropriate delegation. Delegating tasks helps manage time and resources effectively when delegation is safe and appropriate.
C. Weighing clients does not require nursing judgment; it is a routine, stable task that is appropriate for delegation under the right conditions.
D. Weights obtained on new clients may be needed before a full nursing assessment, but initial assessments must be performed by a nurse, not delegated to APs.
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Related Questions
Correct Answer is C
Explanation
A. Manually expressing my milk will decrease my milk supply: Manually expressing milk actually helps stimulate milk production by encouraging milk flow and preventing engorgement, especially if the baby is not feeding well.
B. My baby should always start on the same breast when feeding: It is recommended to alternate the starting breast with each feeding to ensure both breasts are stimulated evenly and to prevent issues like engorgement or blocked ducts.
C. The more my baby is at the breast sucking, the more milk I will produce: Frequent and effective suckling stimulates the release of prolactin and oxytocin, hormones essential for milk production and ejection, increasing milk supply over time.
D. After 5 to 10 minutes when the breast is emptied, my baby should be removed from the breast: Babies should be allowed to feed as long as they want on one breast before switching, as feeding duration varies and the baby controls milk intake to meet nutritional needs.
Correct Answer is B
Explanation
A. Aspirin 1 tablet daily: This prescription is incomplete because it does not specify the dosage in milligrams or the route of administration, which are essential for safe medication administration.
B. Metoprolol 5 mg IV now: This is a complete prescription as it includes the medication name, exact dosage (5 mg), route (IV), and timing (now), meeting all criteria for safe administration.
C. Furosemide 20 mg BID: Although the dose and frequency are included, the prescription is incomplete without specifying the route (e.g., oral or IV), which is necessary for clarity and safety.
D. Nitroglycerin transdermal patch: This order is incomplete as it does not include the dosage, frequency of application, or duration of use, all of which are critical components of a complete prescription.
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