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

Answer and Explanation

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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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.

A. Docusate sodium 200 mg PO at bedtime B. Meloxicam 15 mg PO daily C. Regular insulin 8 units subcutaneous before meals D. Fentanyl 25 mcg/hr transdermal patch

Correct Answer is C

Explanation

Docusate sodium 200 mg PO at bedtime:

This prescription is clear. It specifies the medication (Docusate sodium), the dose (200 mg), and the time of administration (at bedtime).

Meloxicam 15 mg PO daily:

This prescription is clear. It specifies the medication (Meloxicam), the dose (15 mg), and the frequency (daily).

Regular insulin 8 units subcutaneous before meals:

Regular insulin 8 units subcutaneous before meals is a vague and potentially dangerous prescription. Regular insulin is a short-acting insulin that lowers blood glucose levels by facilitating the uptake of glucose into the cells. The dose of insulin should be individualized based on the client's blood glucose level, carbohydrate intake, and activity level. The nurse should contact the provider for clarification on how to adjust the dose according to the client's needs.

Fentanyl 25 mcg/hr transdermal patch:

Fentanyl patches are commonly used for chronic pain management. A dose of 25 mcg/hr is within the standard dosing range for patients who are opioid-tolerant. No clarification is typically needed for this prescription.

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A nurse on a medical unit is making staff assignments. Which of the following tasks should the nurse delegate to an assistive personnel?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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