A nurse manager is conducting an in-service program about delegation to assistive personnel (AP) with staff nurses on the unit.
Which statement by a staff nurse indicates that the teaching was effective?

“The nurse should consider the AP’s level of experience when making delegation decisions.”.

“The AP can provide client education about how to perform basic self-care to the client.”.

“The nurse relinquishes accountability for client outcomes when care is delegated to an AP.”.

“The AP can re-delegate a task to another AP who has similar work experience.”.

Answer and Explanation

The Correct Answer is A

Choice A rationale

The nurse should indeed consider the AP’s level of experience when making delegation decisions. This is because the level of experience can greatly influence the ability of the AP to perform the delegated tasks effectively and safely. An experienced AP may be more competent and confident in performing certain tasks compared to someone with less experience. Therefore, considering the AP’s level of experience is crucial in ensuring quality care for patients.

Choice B rationale

While it is true that APs can assist in providing client education about basic self-care, it is important to note that the scope of their teaching is limited. They can reinforce teaching done by the nurse but should not be the primary source of education, especially for complex care needs or new diagnoses. Therefore, this statement does not fully reflect effective delegation.

Choice C rationale

This statement is incorrect. Even when care is delegated to an AP, the nurse retains accountability for client outcomes. The nurse remains responsible for ensuring that the delegated tasks are completed correctly and safely. Therefore, this statement does not indicate effective delegation.

Choice D rationale

This statement is also incorrect. APs should not re-delegate tasks to another AP1. The nurse who delegated the task has assessed the competency and capabilities of the specific AP to whom the task was delegated. Re-delegation could lead to tasks being performed by someone who may not have the necessary skills or knowledge, potentially compromising patient safety.

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Correct Answer is A

Explanation

Choice A rationale

Decreased muscle mass is a common age-related musculoskeletal change. As people age, they tend to lose muscle mass due to changes in muscle fiber and decreased physical activity. This can lead to weakness and decreased mobility.

Choice B rationale

Thickened vertebral disks are not typically an age-related change. Instead, the disks often become thinner and less flexible with age, which can lead to conditions like degenerative disk disease.

Choice C rationale

Increased force of isometric contraction is not an age-related musculoskeletal change. In fact, both isometric and isotonic muscle strength tend to decrease with age.

Choice D rationale

Reduced chest width is not typically an age-related musculoskeletal change. However, changes in posture and spinal curvature can affect the shape and function of the chest.

A. Frothy pink drainage. B. Coffee-ground drainage. C. Dark amber drainage. D. Greenish-yellow drainage.

Correct Answer is B

Explanation

Choice A rationale

Frothy pink drainage is not typically associated with an upper gastrointestinal bleed. This type of drainage might be seen in other conditions, such as pulmonary edema where the fluid from the lungs can sometimes appear frothy and pink.

Choice B rationale

Coffee-ground drainage is a common finding in patients with an active upper gastrointestinal bleed. When blood mixes with gastric acid, it can create a substance that resembles coffee grounds. This is often seen when a nasogastric (NG) tube is inserted into the patient.

Choice C rationale

Dark amber drainage is not typically associated with an upper gastrointestinal bleed. This type of drainage might be seen in other conditions, such as liver disease where the urine can sometimes appear dark amber.

Choice D rationale

Greenish-yellow drainage is not typically associated with an upper gastrointestinal bleed. This type of drainage might be seen in other conditions, such as bile duct obstruction where the bile can sometimes appear greenish-yellow.

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A nurse manager is conducting an in-service program about delegation to assistive personnel (AP) with staff nurses on the unit.Which statement by a staff nurse indicates that the teaching was effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When preparing a presentation for a senior center about age-related musculoskeletal changes, which of the following changes should be included?

Correct Answer is A

Explanation

A nurse is caring for a patient who has an active upper gastrointestinal bleed.After inserting a nasogastric (NG) tube into the patient, what findings should the nurse anticipate?

Correct Answer is B

Explanation

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A nurse manager is conducting an in-service program about delegation to assistive personnel (AP) with staff nurses on the unit.
Which statement by a staff nurse indicates that the teaching was effective?