Nurses are responsible not only for their actions but also for the actions of the staﬀ to whom they delegate work, including accurate documentation. What is the principle associated with this responsibility?

Accountability

Conﬂict resolution

Coordination of care

Authoritativeness

Answer and Explanation

The Correct Answer is A

The principle associated with the responsibility of nurses for their actions and the actions of the staﬀ to whom they delegate work, including accurate documentation, is accountability. This means that nurses are responsible for ensuring that the care provided by themselves and their staﬀ meets the appropriate standards and that all documentation is accurate and complete.
Option B is incorrect because conﬂict resolution is a process for resolving disagreements or disputes.
Option C is incorrect because coordination of care refers to the process of organizing and managing a patient's healthcare needs.
Option D is incorrect because authoritativeness refers to the ability to make decisions and provide direction.

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Correct Answer is A

Explanation

If a nurse is assisting with the care of a group of pediatric clients, the first action the nurse should take is to deliver a breakfast tray to a child who has been administered regular insulin. This is because regular insulin is a fast-acting insulin that begins to lower blood sugar levels within 15 minutes of administration. It is important for the child to eat shortly after receiving regular insulin to prevent hypoglycemia.
Option B is incorrect because completing pin site care for a child who is in skeletal traction is not as time-sensitive as delivering a breakfast tray to a child who has been administered regular insulin.
Option C is incorrect because providing clear liquids to a child who is 4 hr postoperative following a laparoscopic appendectomy is not as time-sensitive as delivering a breakfast tray to a child who has been administered regular insulin.
Option D is incorrect because administering acetaminophen to a child who has a temperature of 101.2°F (38.4°C) is not as time-sensitive as delivering a breakfast tray to a child who has been administered regular insulin.

A. Collecting intake and output. B. Evaluating pain relief after administering pain medication. C. Providing a central line dressing change. D. Selecting a menu for a low-sodium diet.

Correct Answer is A

Explanation

Assistive personnel (AP), also known as unlicensed assistive personnel (UAP), can perform tasks such as recording vital signs ¹. Collecting intake and output [a] is a task that can be delegated to an AP.

The other options are not tasks that should be delegated to an AP.

Evaluating pain relief after administering pain medication [b] involves assessing the eﬀectiveness of a medical intervention, which is typically the responsibility of a licensed nurse.

Providing a central line dressing change [c] is a complex task that requires specialized knowledge and skills.

Selecting a menu for a low-sodium diet [d] involves dietary planning, which is typically the responsibility of a licensed nurse or a registered dietitian.

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Nurses are responsible not only for their actions but also for the actions of the staﬀ to whom they delegate work, including accurate documentation. What is the principle associated with this responsibility?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the care of a group of pediatric clients. Which of the following actions should the nurse take first?

Correct Answer is A

Explanation

A nurse is delegating client care assignments for the upcoming shift. Which of the following tasks should the nurse plan to delegate to the assistive personnel (AP)?

Correct Answer is A

Explanation

A ﬂoat nurse is given a client assignment that requires the use of unfamiliar skills and techniques. Which of the following actions should the nurse take?

A nurse on a pediatric unit is working with an assistive personnel (AP). Which of the following tasks should the nurse have the AP perform first?

A nurse is assigning care to an assistive personnel (AP). Which of the following tasks should the nurse delegate to the AP?

A nurse wants to prepare a patient report utilizing SBAR, which she knows is a systematic method of communication. To ensure the report is thorough, what types of information does she need? SELECT ALL THAT APPLY

A charge nurse in an acute care facility receives a client's request not to have particular assistive personnel (AP) care for her. Which of the following actions should the charge nurse take?

When preparing to administer medications, the nurse carefully confirms the drug order and the patient's identity. This adherence to an essential ethical principle is:

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