An assistive personnel (AP) comes to work with a new set of artificial nails. The nurse takes the AP to a private location to discuss the issue. Which of the following statements by the nurse is appropriate?

Rationale:

A. Check to see if the elbow restraint is in place for an infant who is postoperative from a surgical correction of a cleft palate is the most critical task to ensure that the infant is safe and that the postoperative care is being managed correctly.

B. Wash the hair of an adolescent who reports extreme fatigue and is scheduled for radiation therapy for the treatment of Hodgkin lymphoma is less urgent compared to tasks directly related to patient safety and postoperative care.

C. Collect a stool sample for ova and parasites from a school-age child is important but not as urgent as checking the safety equipment for a postoperative infant.

D. Engage a toddler in play is beneficial but less urgent than tasks related to immediate postoperative care and safety.

Rationale:

A. Assessment includes the current status and vital signs of the client, which are part of the information the nurse provides to assess the client’s condition.

B. Situation describes the problem or concern that prompted the communication, not detailed vital signs.

C. Background provides context or history relevant to the situation but does not include current vital signs.

D. Recommendation involves suggesting actions or solutions but does not include the current condition details.