When planning delegation of tasks to assistive personnel (AP), a nurse considers the five rights of delegation. Which of the following should the nurse consider when using one of the five rights of delegation?
The AP’s rapport with clients
The AP’s ability to complete the task without assistance
The AP has the knowledge and sail to perform the task
The AP’s ability to prioritize
The Correct Answer is C
A. The AP’s rapport with clients:
While a positive rapport with clients is valuable, it is not a direct factor in determining whether an AP is suitable for a specific task based on the five rights of delegation.
B. The AP’s ability to complete the task without assistance:
The ability to complete a task without assistance is relevant but does not guarantee that the AP has the necessary knowledge and skill for the task. The focus should be on competence rather than independence.
C. The AP has the knowledge and skill to perform the task
When considering the five rights of delegation, one of the crucial factors is ensuring that the assistive personnel (AP) has the knowledge and skill necessary to perform the delegated task safely and effectively. Delegated tasks should align with the AP's competence and training to maintain the safety and well-being of the client.
D. The AP’s ability to prioritize:
Prioritization skills are important for healthcare providers, but the focus of delegation, as per the five rights, is on the AP's competence to perform the specific task.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Elevate the client’s head of bed:
Elevating the head of the bed is a good practice for patients on mechanical ventilation as it helps prevent complications such as aspiration. However, in the scenario where the client has pulled out the endotracheal tube, the immediate concern is assessing the airway and ensuring adequate oxygenation and ventilation. Elevating the head of the bed can be done later as needed.
B. Assess the client’s airway:
This is the correct and priority action. The nurse should assess the client's airway first to determine the extent of the situation. This involves checking for signs of airway obstruction, respiratory distress, or inadequate oxygenation. The assessment guides subsequent interventions.
C. Prepare the client for intubation:
While preparing for intubation may be necessary if the endotracheal tube is completely displaced, assessing the airway comes first. The nurse needs to gather information about the client's current condition before deciding on the appropriate course of action.
D. Suction the client’s mouth:
Suctioning may be necessary, especially if there are secretions or other obstructions in the mouth or airway. However, it should come after the initial assessment of the airway. If the client's airway is clear, suctioning may not be the immediate priority.
Correct Answer is ["1170"]
Explanation
To calculate the total fluid intake for a client during a 4-hour period, the nurse should convert all the measurements to milliliters (mL) and add them together. One cup is equal to 240 mL, one ounce is equal to 30 mL, and one teaspoon is equal to 5 mL. Therefore, the client consumes:
- 1 cup of coffee = 240 mL
- 4 oz of orange juice = 120 mL
- 3 oz of water = 90 mL
- 1 cup of flavored gelatin = 240 mL
- 1 cup of tea = 240 mL
- 5 oz of broth = 150 mL
- 3 oz of water = 90 mL
The total fluid intake is:
240 + 120 + 90 + 240 + 240 + 150 + 90 = 1170 mL
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