A nurse is working with an assistive personnel (AP) in a health clinic during an outbreak of influenza. Which of the following tasks should the nurse delegate to the AP?
Provide advice to a client over the telephone.
Insert an NG tube for a client.
Teach a client how to walk on crutches.
Perform a simple dressing change for a client.
The Correct Answer is D
A. Providing advice over the telephone requires clinical judgment and assessment, which are beyond the scope of practice for assistive personnel (AP). This task should not be delegated.
B. Inserting an NG tube is an invasive procedure that requires advanced training and skill, so it is not within the scope of the AP. This task must be performed by a nurse or another licensed provider.
C. Teaching a client how to walk on crutches involves instruction and monitoring, which requires the clinical judgment and teaching skills of a nurse or physical therapist, making it unsuitable for AP delegation.
D. Performing a simple dressing change is a routine and basic task that can be safely delegated to an AP, as long as the task does not require sterile technique or complex wound care.
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Related Questions
Correct Answer is D
Explanation
A. While a clinician assessing safety can be part of a care plan, it does not define the purpose of respite care.
B. Respite care typically does not involve volunteers running errands; instead, it focuses on temporary care.
C. Transferring to an assisted living facility is a separate process from respite care, which provides temporary relief.
D. Respite care specifically allows caregivers to take breaks, providing them time off from their caregiving responsibilities while ensuring that their loved one is cared for in a safe environment, making this the correct answer.
Correct Answer is C
Explanation
A. Assessing the gag reflex after an esophagogastroduodenoscopy is appropriate because it ensures the client has recovered from anesthesia, reducing the risk of aspiration.
B. Keeping the chest tube collection device below the insertion site is proper technique, as it promotes drainage and prevents backflow into the chest cavity.
C. Elevating the head of the bed to 30° for nasogastric tube insertion is incorrect. The head of the bed should be elevated to 45-90° to facilitate easier insertion and reduce the risk of aspiration.
D. Assisting the client into the fetal position is the correct position for a lumbar puncture because it helps open the spaces between vertebrae, allowing easier needle insertion.
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