A nurse is delegating client care assignments for the shift. Which of the following tasks should the nurse delegate to an assistive personnel (AP)?
Teach a client about low-sodium foods.
Measure and record intake and output for a client.
Perform wound irrigation for a client.
Evaluate pain relief for a client following the administration of a pain medication.
The Correct Answer is B
Rationale
A. Teaching about low-sodium foods requires specialized knowledge and should be performed by an RN.
B. Measuring and recording intake and output can be done by an AP, as it involves routine data collection rather than clinical judgment.
C. Wound irrigation is a more complex procedure that requires clinical skills and should be performed by an RN or LPN.
D. Evaluating pain relief involves clinical assessment and judgment, which is beyond the scope of an AP.
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Correct Answer is C
Explanation
Rationale:
A. Determining social skills is not directly related to task delegation.
B. Assessing ability to follow the client's teaching plan is beyond the scope of AP duties.
C. Providing a clear description of the task ensures that the AP understands what is expected, which is essential for effective delegation.
D. Evaluating ability to work with peers is important but not the primary focus for task delegation.
Correct Answer is B
Explanation
Rationale:
A. Hospice care focuses on comfort and quality of life, not on curing the illness. Therefore, the oncologist would typically shift focus to palliative care.
B. Managing symptoms such as dyspnea is a primary aspect of hospice care, aimed at improving the quality of life.
C. Hospice care is usually for patients with a prognosis of six months or less, not for those with indefinite life expectancy.
D. Hospice care can be provided in various settings, including the patient’s home, not just long-term care facilities.