An RN is making nursing staff assignments for his team consisting of himself, two licensed practical nurses (LPNs), and an assistive personnel (AP). Which of the following clients should he assume responsibility for?

The client who is actively dying and requires IV pain medication

The client who is 3 days postoperative and requires a dressing change

The client who requires frequent ambulation

The client who is in protective isolation

Answer and Explanation

The Correct Answer is A

A.   This client needs IV pain medication, which requires advanced skills and knowledge to manage and administer safely. This situation involves complex and sensitive care, including pain management and end-of-life issues. RNs are typically responsible for administering IV medications, especially in critical or end-of-life situations.
B.   A client who is 3 days postoperative and needs a dressing change generally requires a level of care that may be suitable for LPNs. LPNs are trained to perform dressing changes and manage postoperative wounds. However, if there are complications or concerns about the wound or the client’s condition, the RN should oversee or handle the situation.
C.   Frequent ambulation can be managed by assistive personnel (AP) under the supervision of the RN. This task typically involves supporting and assisting the client with walking, which is within the scope of AP duties. LPNs can also assist with ambulation, but it is generally a task appropriate for APs when performed as part of routine care.
D.   A client in protective isolation requires careful attention to infection control practices to protect them from infections. While the RN is responsible for ensuring adherence to isolation protocols and assessing the client’s needs, the day-to-day care tasks might be managed by LPNs and APs, provided they are trained in infection control procedures.

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Correct Answer is B

Explanation

A. While delegation might contribute to more efficient use of resources and potentially reduce some costs, it is not the primary purpose of delegation. The main goal of delegation is to manage tasks and responsibilities more effectively, rather than focusing directly on cost reduction.
B. Delegation involves assigning specific tasks or responsibilities to others so that goals can be met more efficiently. It allows the delegating nurse to entrust certain tasks to others, enabling the overall objectives of patient care and unit management to be achieved effectively. This statement captures the essence of delegation as it involves empowering others to carry out tasks to achieve a common goal.
C. While delegation can help ensure that resources are used appropriately by assigning tasks to the right individuals, this statement is more about resource management rather than the primary purpose of delegation itself.
D. Delegation itself does not specifically promote discharge teaching activities. While tasks related to discharge teaching can be delegated, the primary purpose of delegation is broader, focusing on managing workload and achieving goals by assigning tasks to others.

A. Teach the use of an incentive spirometer to a postoperative client. B. Irrigate and perform a dressing change for a client who has a pressure injury wound. C. Administer oral PRN pain medication to a client who has arthritis. D. Obtain a daily weight on a client who has heart failure.

Correct Answer is D

Explanation

A. Teaching a client how to use an incentive spirometer involves providing detailed instruction and education about the device and its use. This task requires clinical knowledge and the ability to assess and address the client’s understanding, which is beyond the scope of an AP.
B. Irrigating and performing a dressing change on a pressure injury wound is a clinical task that requires specific training and skill, including knowledge of wound care, infection control, and assessment of wound healing. This is typically performed by an RN or another licensed healthcare professional. This task involves clinical judgment and assessment, which are beyond the training of an AP.
C. Administering medication, including PRN (as needed) pain medication, involves assessing the client’s condition, verifying the medication order, and monitoring for effects and side effects. This task requires a licensed nurse who can perform these assessments and make clinical decisions.
D. Obtaining a daily weight is a task that is within the scope of practice for an AP. Weighing a client does not require clinical judgment or complex decision-making and is typically considered a routine task that can be safely delegated to an AP. This task involves measuring and recording the client’s weight, which is an objective and straightforward task.

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An RN is making nursing staff assignments for his team consisting of himself, two licensed practical nurses (LPNs), and an assistive personnel (AP). Which of the following clients should he assume responsibility for?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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