A nurse observes another nurse performing a procedure in the incorrect sequence. The procedure does not harm the client. Which of the following actions should the nurse take first?

Correct the mistake independently.

Speak with the other nurse privately.

Volunteer to perform the procedure next time.

Submit an incident report.

Answer and Explanation

The Correct Answer is B

The first action the nurse should take is to speak with the other nurse privately. This allows the nurse to address the mistake in a respectful and professional manner and provide guidance on how to perform the procedure correctly in the future.
Option A is incorrect because correcting the mistake independently does not address the underlying issue of the other nurse performing the procedure incorrectly.
Option C is incorrect because volunteering to perform the procedure next time does not address the underlying issue of the other nurse performing the procedure incorrectly.
Option D is incorrect because submitting an incident report may be necessary, but it should not be the first action taken.

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Correct Answer is A

Explanation

Assistive personnel (AP), also known as unlicensed assistive personnel (UAP), can perform tasks such as recording vital signs ¹. Collecting intake and output [a] is a task that can be delegated to an AP.

The other options are not tasks that should be delegated to an AP.

Evaluating pain relief after administering pain medication [b] involves assessing the eﬀectiveness of a medical intervention, which is typically the responsibility of a licensed nurse.

Providing a central line dressing change [c] is a complex task that requires specialized knowledge and skills.

Selecting a menu for a low-sodium diet [d] involves dietary planning, which is typically the responsibility of a licensed nurse or a registered dietitian.

A. The client's son, who has a durable power of attorney. B. The client's sister, who assists with finances. C. The client's daughter, who is the primary caregiver. D. The client, who has advance directives.

Correct Answer is A

Explanation

The nurse should request the client's son, who has a durable power of attorney, to sign the client's informed consent. A durable power of attorney is a legal document that allows an individual to appoint someone to make decisions on their behalf in the event that they become unable to do so. If the client has dementia and is unable to provide informed consent for the procedure, the individual with a durable power of attorney has the legal authority to make decisions on their behalf.

The other individuals are not the appropriate person to sign the client's informed consent. The client's sister [b] and daughter [c] may be involved in the client's care and decision-making, but they do not have the legal authority to provide informed consent on behalf of the client unless they have been designated as such in a legal document. Advance directives [d] are legal documents that allow individuals to communicate their wishes about medical treatment and end-of-life care, but they do not grant decision-making authority to another individual.

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