A nurse on a medical-surgical unit is providing care for a group of clients. The nurse should delegate collection of which of the following specimens to the assistive personnel (AP)?
Blood for PaCO2
Random stool specimen
Wound drainage for culture
Urine from an indwelling catheter
The Correct Answer is B
Rationale:
A. Blood for PaCO2 is a specialized specimen that requires venipuncture and specific handling to ensure accuracy, which should be performed by a licensed nurse or phlebotomist.
B. Random stool specimen collection is a routine task that can be delegated to the AP. It requires minimal specialized skill and is within the AP's scope of practice.
C. Wound drainage for culture requires sterile technique and proper handling to avoid contamination, which is beyond the AP's responsibilities.
D. Urine from an indwelling catheter requires specialized techniques and knowledge to ensure proper collection, and should be performed by a nurse.
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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.
Correct Answer is C
Explanation
Rationale:
A. Asking about discharge is a general inquiry that does not require immediate follow-up unless it’s related to specific discharge planning.
B. Changing the dressing is a routine postoperative care task and doesn’t necessarily require follow-up unless there’s a concern about the procedure.
C. Not receiving medications is a critical issue that needs immediate attention to address potential gaps in treatment.
D. Not knowing how to use the remote control is a minor issue that does not require clinical follow-up.