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

Answer and Explanation

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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Correct Answer is D

Explanation

A. Pain in the affected leg could indicate worsening of cellulitis or a potential complication like deep vein thrombosis (DVT), but there is no immediate indication of a life-threatening condition. This client should be assessed, but may not be the top priority unless other signs of complications are present.

B. A serum calcium level of 10 mg/dL is within the normal range (8.5 to 10.5 mg/dL). A headache, while concerning, is not immediately life-threatening unless there are additional symptoms suggesting something more severe.

C.Reddish brown urine suggests hematuria, a symptom of glomerulonephritis. This could indicate ongoing kidney issues, but unless there are signs of severe kidney failure or systemic infection, this might not be the most urgent case.

D. A blood glucose level of 68 mg/dL is low and can lead to hypoglycemia, which can be immediately life-threatening if it progresses to severe hypoglycemia. Symptoms of hypoglycemia include confusion, dizziness, sweating, and can escalate to seizures or unconsciousness if not promptly treated.

A. Pneumothorax B. Atelectasis C. Hemothorax D. Flail chest

Correct Answer is D

Explanation

A. Pneumothorax: A pneumothorax occurs when air accumulates in the pleural space, causing the lung to collapse. It often presents with unilateral chest pain, dyspnea, and diminished or absent breath sounds on the affected side.

B. Atelectasis: Atelectasis refers to the collapse of alveoli in the lungs, often caused by obstruction, compression, or lack of surfactant. Symptoms include hypoxemia, diminished breath sounds, and shortness of breath.

C. Hemothorax: A hemothorax occurs when blood accumulates in the pleural space. It typically presents with chest pain, dyspnea, and diminished or absent breath sounds on the affected side.

D. Flail Chest: Flail chest results from multiple rib fractures that create a free-floating segment of the chest wall. This condition causes paradoxical chest movement, where the chest wall segment moves inward during inspiration and outward during expiration.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

Correct Answer is D

Explanation

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