An RN has a critical client that needs constant monitoring. However, the RN also has other clients in need of care. Which tasks below could the RN delegate to the CNA to help continue the process of client care? (select all that apply) (3)

change a sterile dressing

Ambulate a stable client to the bathroom

take vital signs for the unit

Provide morning care to a client

Give the discharge instructions to a client going home

Answer and Explanation

Correct Answer : B,C,D

A. change a sterile dressing: Changing a sterile dressing is a complex task that requires the skills and knowledge of an RN or LPN, not a CNA.
B. Ambulate a stable client to the bathroom: Ambulating a stable client is within the scope of practice for a CNA and can be delegated.
C. take vital signs for the unit: Taking vital signs is a common task for CNAs and can be delegated.
D. Provide morning care to a client: Providing morning care (such as bathing, grooming) is within the scope of practice for a CNA and can be delegated.
E. Give the discharge instructions to a client going home: Giving discharge instructions requires the assessment and judgment of an RN and cannot be delegated to a CNA.

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Correct Answer is A

Explanation

A. Planning: Developing goals is part of the planning phase, where the nurse sets objectives and outcomes for the patient’s care.
B. Assessment: Assessment involves collecting data about the patient’s condition.
C. Implementation: Implementation involves putting the care plan into action.
D. Evaluation: Evaluation involves determining whether the patient has met the goals and outcomes set during the planning phase.

A. "There are no provider's prescriptions available." B. "The client should be seen by a neurologist." C. "The client is disoriented. Pupils are slow to respond to light." D. "The client was found unconscious on the floor in her home."

Correct Answer is B

Explanation

A. "There are no provider's prescriptions available." This statement is about the current situation or background, not a recommendation.
B. "The client should be seen by a neurologist." The Recommendation (R) step involves suggesting actions or solutions, such as recommending that the client be seen by a neurologist.

C. "The client is disoriented. Pupils are slow to respond to light." This statement belongs in the Assessment (A) step as it describes the nurse’s clinical findings.
D. "The client was found unconscious on the floor in her home." This statement provides background information (B) about the client’s situation.

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An RN has a critical client that needs constant monitoring. However, the RN also has other clients in need of care. Which tasks below could the RN delegate to the CNA to help continue the process of client care? (select all that apply) (3)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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