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A nurse is delegating client care assignments for the shift. Which of the following tasks should the nurse delegate to an assistive personnel (AP)?

A.

Teach a client about low-sodium foods.

B.

Measure and record intake and output for a client.

C.

Perform wound irrigation for a client.

D.

Evaluate pain relief for a client following the administration of a pain medication.

Answer and Explanation

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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View Related questions

Correct Answer is D

Explanation

Rationale:

A. Insisting the client take medications does not respect the client’s autonomy and is not an advocacy action.

B. Informing the client that the medication is the same as taken at home does not necessarily address the client’s concerns or questions.

C. Telling the client that refusal is noncompliance does not support client autonomy and does not address their concerns.

D. Encouraging the client to verbalize questions supports their right to be informed and make decisions about their care, demonstrating advocacy.

Correct Answer is D

Explanation

Rationale:

A. WBC 6,000/mm³ is within normal range and does not require follow-up.

B. BUN 15 mg/dL is within normal range and does not require follow-up.

C. Hemoglobin 14 g/dL is within normal range for most adults and does not require follow-up.

D. Platelet count 60,000/mm³ is significantly low and requires follow-up as it can increase the risk of bleeding during surgery.

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