A nurse receives care assignments for a group of clients. Which of the following tasks should the nurse ask the charge nurse to reassign to an RN? (Select all that apply.)
Applying a vacuum-assisted wound closure device on a client's pressure ulcer
Developing a plan of care for a newly admitted client
Preparing a teaching plan for a client who has a new prescription for insulin
Obtaining a client's post-void residual using a bladder scanner
Initiating the administration of a blood transfusion for a client
Correct Answer : A,B,C,E
A. Applying a vacuum-assisted wound closure device on a client's pressure ulcer: This task requires clinical judgment and advanced training, which are appropriate for an RN.
B. Developing a plan of care for a newly admitted client: Creating care plans requires comprehensive assessment and clinical decision-making, which are within the RN's scope.
C. Preparing a teaching plan for a client who has a new prescription for insulin: Teaching requires advanced knowledge to assess learning needs and provide education.
D. Obtaining a client's post-void residual using a bladder scanner: This task is within the scope of practice for assistive personnel (AP) if trained.
E. Initiating the administration of a blood transfusion for a client: Blood transfusion initiation requires close monitoring and assessment for adverse reactions, which falls under the RN's scope.
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Related Questions
Correct Answer is D
Explanation
A. "I respect your right to choose to discontinue treatment." This demonstrates respect for autonomy but does not specifically convey veracity (truthfulness).
B. "I will have a hospice nurse come discuss this kind of care with you." This is an appropriate action but does not directly reflect truthfulness.
C. "I'll work with hospice services to help you transition to their care." This statement demonstrates support but does not explicitly involve truth-telling.
D. "I will answer any questions you have about hospice care honestly." This directly addresses the ethical principle of veracity by ensuring truthful communication with the client.
Correct Answer is ["A","B","E"]
Explanation
A. A nurse contacts a client's family member upon the client's request. Fidelity involves keeping promises or fulfilling client requests.
B. A nurse returns to a client's room within a specified time frame. Keeping a promise to return demonstrates fidelity.
C. A nurse provides the same care to clients regardless of their socioeconomic status. This exemplifies the ethical principle of justice, not fidelity.
D. A nurse reinforces education and evaluates a client's understanding. This reflects the ethical principle of beneficence (doing good) rather than fidelity.
E. A nurse administers pain medication prior to ambulating a postoperative client. Administering pain medication as promised demonstrates fidelity.
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