A nurse in an acute care setting is planning care for a group of clients at the beginning of the shift. Which of the following tasks should the nurse assign to the assistive personnel (AP)?
Removal of the nasogastric tube of a client who has been receiving enteral feedings
Monitoring vital signs of a client who had an appendectomy 12 hr ago
Application of antibiotic ointment to the arm of a client who has dermatitis
Obtaining medical history information from a stable client who is being admitted
The Correct Answer is B
Rationale:
A. Removal of the nasogastric tube is a more complex task that typically requires the nurse’s assessment and judgment.
B. Monitoring vital signs is within the scope of tasks that can be assigned to assistive personnel. This task involves routine observation and does not require complex decision-making.
C. Application of antibiotic ointment requires specific knowledge about the condition and treatment, which is generally performed by a nurse.
D. Obtaining medical history information is a task that requires clinical judgment and interaction, and should be done by a nurse rather than an assistive personnel.
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Correct Answer is D
Explanation
Rationale:
A. "Use wool blankets on your bed" is not recommended as wool is a flammable material that can pose a risk with oxygen use.
B. "Store unused oxygen tanks horizontally" is not correct; tanks should be stored upright to prevent damage or leakage.
C. "Check your oxygen equipment once each week" is insufficient; equipment should be checked more frequently to ensure safety.
D. "Do not adjust the oxygen flow rate" is correct as clients should not make adjustments without medical advice to ensure proper oxygen levels are maintained.
Correct Answer is D
Explanation
Rationale:
A. Evaluate the results should occur after a resolution has been implemented, not at the initial stage.\
B. Brainstorm solutions is a subsequent step after identifying and understanding the problem.
C. Implement a resolution should be done after identifying and brainstorming possible solutions.
D. Identify the problem is the crucial first step in conflict resolution. Understanding the nature of the conflict between the pharmacy and the staff nurses is necessary before moving on to developing solutions or implementing changes.