A nurse on a medical unit is making staff assignments. Which of the following tasks should the nurse delegate to an assistive personnel?
Inserting a straight urinary catheter for a client
Performing perineal care for a client who has an indwelling urinary catheter
Showing a client how to use an incentive spirometer
Increasing oxygen flow for a client who has a nasal cannula
The Correct Answer is B
A. Inserting a straight urinary catheter for a client:
Inserting a urinary catheter involves a sterile procedure and requires the specialized skills of a licensed nurse. This task should not be delegated to assistive personnel.
B. Performing perineal care for a client who has an indwelling urinary catheter.
Delegating tasks should align with the education, training, and scope of practice of the assistive personnel. Performing perineal care for a client with an indwelling urinary catheter is a task that can be appropriately delegated to assistive personnel. This task involves basic hygiene and does not require the advanced skills or knowledge of a licensed nurse.
C. Showing a client how to use an incentive spirometer:
Educational tasks, such as demonstrating how to use an incentive spirometer, require knowledge and understanding of the device, as well as the ability to assess and respond to the client's needs. This task is best performed by a licensed nurse.
D. Increasing oxygen flow for a client who has a nasal cannula:
Adjusting oxygen flow involves assessing the client's condition and making decisions based on the client's oxygenation needs. This task requires the clinical judgment of a licensed nurse and should not be delegated to assistive personnel.
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Related Questions
Correct Answer is C
Explanation
A. Adult day care is a service that provides care and supervision to adults who need assistance during the day, often due to physical or cognitive impairments. However, it may not be specifically geared toward providing wound care services.
B. Long-term care typically involves comprehensive, ongoing assistance with activities of daily living for individuals who have chronic illnesses or disabilities. While wound care may be part of long-term care, it's not the primary focus, and it is often provided in various settings, including home care.
C. Wound care is the most appropriate recommendation for an older adult client requiring dressing changes for a healing pressure ulcer. This service may include home health nursing visits to perform the necessary wound care, monitor healing progress, and provide education to the client and their caregivers.
D. Palliative care is focused on providing relief from the symptoms and stress of a serious illness, and it can be appropriate for clients with chronic conditions. However, in this scenario, the primary need is for wound care rather than palliative care.
Correct Answer is C
Explanation
The client's provider cannot provide informed consent on behalf of the client. The provider's role is to explain the procedure, its risks and benefits, and answer any questions the client may have to help the client make an informed decision.
The client's mother may have a supportive role in the decision-making process, especially if the client desires their involvement. However, unless the client has been legally deemed unable to make decisions (for example, due to lack of decision-making capacity), the client's consent should be sought directly.
The client is the primary individual who should provide informed consent for their own medical procedure, assuming they have decision-making capacity. They have the right to accept or refuse the treatment after being fully informed about the procedure, risks, benefits, and alternatives.
The client's sibling does not have the authority to provide informed consent for the client's medical procedure unless they have been legally designated as the client's healthcare proxy or legally authorized decision-maker.
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