At the beginning of the day shift, a team leader delegates the following tasks to the assistive personnel (AP): bathe four clients, distribute fresh water, and obtain the morning vital signs. At noon, the nurse asks the AP to transport one client to physical therapy. The AP reports two clients still need bed baths. Which of the following is an appropriate strategy for the nurse to delegate more effectively in the future?
Plan a more reasonable job assignment
Co-assign a more qualified individual to assist the AP
Set a clear time frame for the completion of each task
Volunteer to give the baths for the AP
The Correct Answer is C
A. Planning a more "reasonable" job assignment assumes the workload was too high, but bathing four clients and taking vital signs is a standard workload for an AP during a shift. The issue in the scenario is a lack of prioritization and communication rather than an impossible volume of work. Reducing the assignment without addressing the time-management issues does not improve the nurse's delegatory skills or the team's efficiency. The nurse must focus on the process of delegation.
B. Co-assign a more qualified individual to assist the AP: While sharing tasks can help in the moment, it does not address the underlying issue of unrealistic workload planning. Relying on additional staff each time may not be feasible and does not improve delegation skills for future assignments.
C. Setting a clear time frame for each task is the most appropriate strategy for more effective delegation. By providing a "due by" time, the nurse helps the AP prioritize their workload and allows for early identification of barriers to completion. Without specific deadlines, the AP may follow a sequence that does not align with the unit's flow, such as delaying baths that are required before a client can participate in physical therapy. Clear expectations reduce ambiguity and improve clinical accountability.
D. Volunteer to give the baths for the AP: Completing tasks for the AP undermines delegation principles and does not address the need for effective planning. It shifts the workload back to the nurse rather than improving future delegation and efficiency.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["45"]
Explanation
Identify the ordered dose and the available concentration
Ordered Dose: 30 g
Available Concentration: 10 g per 15 mL
Calculate the volume to administer per dose using the Dose/Have method
Amount to administer = (Ordered Dose ÷ Dose on Hand) × Quantity
Quantity corresponding to the Dose on Hand = 15 mL
Volume = (30 ÷ 10) × 15
= 3 × 15
= 45 mL
Correct Answer is C
Explanation
A. Shakiness: Shakiness is typically a manifestation of hypoglycemia, resulting from activation of the sympathetic nervous system. It occurs when blood glucose drops below normal levels, not with hyperglycemia, so it is not associated with a glucose level of 265 mg/dL.
B. Confusion: Confusion can occur with both severe hyperglycemia and hypoglycemia, but it is more pronounced in extreme elevations of blood glucose or in hyperosmolar hyperglycemic states. A level of 265 mg/dL may not yet cause marked cognitive changes in all clients.
C. Thirst: Hyperglycemia causes osmotic diuresis, leading to fluid loss and dehydration, which triggers excessive thirst (polydipsia). This is a common and early clinical manifestation associated with elevated blood glucose levels such as 265 mg/dL.
D. Diaphoresis: Diaphoresis, or excessive sweating, is primarily a symptom of hypoglycemia caused by adrenergic stimulation. It is not a typical manifestation of hyperglycemia and is unlikely to occur with a blood glucose of 265 mg/dL.
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