The care of a client is assigned to a newly-graduated RN. What actions can the newly-graduated RN delegate to the unlicensed assistive personnel (UAP)? [SELECT ALL THAT APPLY]

Providing oral care every 3 to 4 hours.

Help the client change position every 2 hours.

Administering 0.45% saline by IV line.

Record urine output when client voids.

Monitoring for indications of dehydration.

Assessing daily weights for trends.

Answer and Explanation

Correct Answer : A,B,D

A.   This task is appropriate for UAP to perform, as it involves basic hygiene and does not require nursing judgment or clinical assessment. UAP can assist with routine oral care under the direction of the RN.
B.   Assisting with position changes is a basic care activity that UAP can perform. This task helps prevent pressure ulcers and maintains client comfort, and it does not require the clinical judgment of a nurse.
C.   Administering IV medications or fluids is a nursing task that requires specific training and knowledge of nursing assessments, potential complications, and monitoring. This task should only be performed by a licensed nurse, not by UAP.
D.   UAP can document basic measurements such as urine output, as this is a straightforward task that does not require clinical judgment. However, the RN should ensure that the UAP understands how to accurately measure and record this information.
E.   While UAP can observe and report general changes, monitoring for clinical indications of dehydration requires nursing assessment skills and judgment. This task should be performed by an RN.
F.   While UAP can weigh clients, the assessment of weight trends requires clinical judgment and interpretation of data, which falls under the responsibilities of a licensed nurse. The RN should evaluate and interpret the data regarding the client's health status.

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Correct Answer is D

Explanation

A. Libel refers to the written defamation of someone's character, which is not applicable here. The nurse leaving early does not involve any defamatory statements or written content.
B. Battery involves the intentional and unlawful physical contact with another person without consent. The nurse leaving early does not constitute physical harm or unwanted contact with patients or colleagues.
C. Slander refers to the spoken defamation of someone's character. Similar to libel, this term does not apply to the nurse’s action of leaving early, as it does not involve making false statements about someone.
D. Negligence in nursing refers to a failure to provide the standard of care that a reasonably competent nurse would provide in similar circumstances. By leaving her shift early without notifying the charge nurse, the nurse may be failing to ensure continuity of care for her patients, even if they are stable.

A. The nurse is likely not liable because surgery is beyond the nurse's scope of practice. B. The nurse is not likely liable because the signature only specifies that the nurse witnessed the client signing the consent form. C. The nurse may be liable because cosigning the consent form makes the nurse an equal member of the surgical team. D. The nurse is liable because cosigning the consent form confirms that the client fully understood the risks of surgery

Correct Answer is B

Explanation

A. While it’s true that surgery itself is beyond the nurse's scope of practice, liability can still arise from the actions taken in relation to the consent process. The issue is not about the surgery itself but about the responsibility associated with witnessing the consent.
B. The nurse’s role in this context is to witness the client’s signature, not to guarantee the client’s understanding of the procedure or the risks involved. The witness signature generally indicates that the nurse observed the client signing the document but does not imply that the nurse ensured the client understood all aspects of the surgery.
C. Cosigning a consent form does not make the nurse an equal member of the surgical team in terms of decision-making or responsibilities. The nurse's role as a witness is limited to observing the signing process.
D. The nurse’s signature does not imply that they confirmed the client's understanding of the risks involved. The responsibility for explaining the risks and ensuring the client’s understanding typically falls to the physician or surgeon.

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The care of a client is assigned to a newly-graduated RN. What actions can the newly-graduated RN delegate to the unlicensed assistive personnel (UAP)? [SELECT ALL THAT APPLY]

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse plans to leave her scheduled shift an hour early without permission or notification of the charge nurse. The clients in the nurse's assignment are stable. Which of the following legal terms applies to this situation?

Correct Answer is D

Explanation

The preoperative admitting nurse witnessed a client sign an operative consent form. The nurse then cosigned the same document as a witness. The client suffered an injury during surgery and names the nurse in the suit because the nurse witnessed the consent form. What is the most likely outcome?.

Correct Answer is B

Explanation

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