A nurse on a pediatric unit is working with an assistive personnel (AP). Which of the following tasks should the nurse have the AP perform first?
Feed a school-age client who has burns on both upper extremities.
Collect a stool sample for ova and parasites from a toddler.
Bathe an adolescent client who is disabled.
Ambulate a preschooler who is postoperative to the playroom.
The Correct Answer is A
The nurse should have the AP perform the task of feeding a school-age client who has burns on both upper extremities first. This task is a high priority because it addresses the client's immediate need for nutrition and hydration. The client's burns may make it difficult for them to feed themselves, so the assistance of the AP is necessary to ensure that the client receives adequate nourishment.
The other tasks are also important, but they are not the highest priority in this situation. Collecting a stool sample for ova and parasites from a toddler [b] and bathing an adolescent client who is disabled [c] are routine tasks that can be performed as time permits. Ambulating a preschooler who is postoperative to the playroom [d] is also important for promoting mobility and recovery, but it is not as urgent as addressing the immediate need for nutrition and hydration.
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Correct Answer is A
Explanation
The first action the nurse should take is to collect data on the client. This includes assessing the client's condition and vital signs to determine if they require immediate medical attention.
Option b may not be appropriate without first assessing the client's condition.
Option c may be necessary after collecting data on the client, but it should not be the first action taken.
Option d may also be necessary, but it should not be the first action taken.
Correct Answer is A
Explanation
The charge nurse is demonstrating the right of supervision by checking with other nursing personnel on the unit throughout the day to determine if they are completing tasks. This means that the charge nurse is providing appropriate supervision and monitoring of the delegated tasks to ensure that they are being completed correctly and that the client's needs are being met.
Option B is incorrect because it refers to ensuring that the circumstances are appropriate for delegation.
Option C is incorrect because it refers to delegating tasks to the right person who has the appropriate skills and knowledge to complete them.
Option D is incorrect because it refers to clear communication between the delegator and delegatee about the task being delegated.
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