A nurse on the postpartum unit is planning to delegate client care to an assistive personnel (AP). Which of the following tasks should the nurse plan to delegate to the AP?
Check vital signs of a client who is being admitted with gestational hypertension.
B. Provide a sitz bath to a client who has a fourth-degree laceration and is 2 days postpartum.
Observe an area of redness on the breast of a client who is 1 day postpartum.
Assist with changing the perineal pad of a client following delivery.
The Correct Answer is B
A. Monitoring vital signs during the admission of a client with gestational hypertension requires nursing judgment and assessment skills.
B. Providing a sitz bath to a client with a fourth-degree laceration and is 2 days post- partum can be delegated to an AP. This task does not require the nurse's clinical judgment or assessment skills, and it can be safely performed by the AP following the nurse's instructions.
C. Observing an area of redness on the breast requires nursing assessment and intervention.
D. Changing the perineal pad of a client who has just been transferred from the labor ward is a task that should not be delegated to an assistive personnel (AP) since it is beyond their scope. This task requires assessment skills to evaluate the amount and type of lochia (postpartum vaginal discharge) and to monitor for signs of complications such as hemorrhage or infection. These assessments are within the scope of practice for a registered nurse.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","E"]
Explanation
Swaddling can provide a sense of security and comfort to the newborn by mimicking the feeling of being in the womb.
Carrying the newborn close to the caregiver's body can help promote a sense of security and provide soothing motion. It can also allow the caregiver to be responsive to the newborn's needs.
The gentle motion and vibrations of a car ride can often help soothe a newborn and lull them to sleep.
It is not appropriate to suggest the following:
It is important to respond to a newborn's cries and provide comfort and care. Allowing a newborn to cry for extended periods without intervention can lead to distress and is not recommended.
Newborns often feel more secure when they are in a smaller, cozier space. Placing them in the center of a large crib may not provide the same sense of security.
Correct Answer is C
No explanation
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