A patient requires repositioning every 2 hours. Which task can the nurse delegate to the nursing assistive personnel?
Identifying immobility hazards
Determining the level of comfort
Changing the patient's position
Assessing circulation
The Correct Answer is C
A. Identifying immobility hazards requires clinical judgment and assessment skills that are beyond the scope of nursing assistive personnel.
B. Determining the level of comfort is a subjective assessment that should be done by a nurse to ensure accurate interpretation of the patient’s condition.
C. Changing the patient's position can be safely delegated to nursing assistive personnel, as it is a straightforward task that does not require advanced clinical judgment.
D. Assessing circulation involves evaluating the patient's vital signs and other parameters, which should be performed by a nurse to ensure comprehensive care and assessment.
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Correct Answer is C
Explanation
A. Competent nurses have typically worked in a specific area for 2-3 years, developing an understanding of patient care specific to that field.
B. Proficient nurses have advanced understanding and experience, allowing them to see care situations as whole parts rather than in separate steps.
C. In a new specialty area, the nurse is considered a novice, as they lack experience and expertise in obstetrics despite previous nursing experience.
D. Advanced beginners have some experience but still need support; however, this would apply only if the nurse had some previous obstetric experience.
Correct Answer is D
Explanation
A. Vision is not commonly affected by vancomycin, so it is not a priority to assess.
B. Heart tones are not directly impacted by vancomycin and do not require immediate monitoring unless there are specific cardiovascular concerns.
C. Bowel sounds are not directly influenced by vancomycin and do not need to be prioritized in this case.
D. Vancomycin is known to be ototoxic, especially in high doses or with prolonged use, so monitoring for signs of hearing loss or tinnitus is essential to prevent potential irreversible damage.